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Survivor Insurance
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Personal and Family Accident Insurance Plan
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Qualified Changes in Your Family or Enrollment Status

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Personal and Family Accident Insurance Plan:
Plan coverage
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Events that affect participation
Qualified changes in my family or enrollment status
If you have a qualified change in status (e.g., marriage, divorce, birth, adoption) during the year that affects your Personal and Family Accident Insurance Plan, you should notify the Benefits Section of the Office of Human Resources immediately to report the change and submit a completed Flexible Benefit Plan Mid Year Changes Certification Statement. Any forms must be completed and received by the Benefits Section of the Office of Human Resources within 30 calendar days of the qualified change in status. You may also be required to provide evidence of the qualified change in status, such as a birth certificate, marriage license or divorce decree.Qualified changes in your family or enrollment status include:
  • Marriage
  • Birth or adoption of a child
  • Start or loss of your spouse’s employment
  • Change in employment status (for you or your spouse) from part-time to full-time or from full-time to part-time
  • Divorce
  • Death of your spouse or other dependent
  • Salary loss due to disability
  • Retirement
  • Your death
  • Leave of absence or sabbatical for you or your spouse
  • Termination of your employment with Boston University