A member can change coverage from Single to Family, or Family to Single, after any major life event.
Tip!
Life events consist of the following:
- Birth
- Adoption
- Legal Guardianship
- Marriage
- Separation
- Divorce
- Death
Eligible dependents must be added within 31 days of the major life event.
WEBS™ will prompt you to include the reason for the change, the date of the change is the date of the major life event.
- If the member is changing from Single to Family coverage, the effective date is the date of the change in status (i.e. date of marriage, birth, etc.).
- If the member currently has Single coverage and wishes to change to Family coverage, and it is more than 31 days since their change in status, the dependent(s) may be considered a Late Applicant and medical underwriting may be required, discuss the reason for the late application with your Billing Administrator to determine if the dependent is a late applicant.
- If the employee already has Family coverage, any subsequent additional dependents that become eligible after the original application was received can be added without Medical Evidence.
- Members currently on the plan who wish to add a common-law spouse must provide you with a written declaration of the date they began living common-law and/or complete the Member Benefits Change Form. The common-law partner must be publicly represented as a spouse, typically residing with the member for a minimum of 12 consecutive months (or as specified in your Booklet).
- If the new dependent is due to adoption and/or guardianship, the member must provide official court documentation confirming the arrangement. Please forward these court documents to your Billing Administrator.
To add a subsequent dependent where Family coverage is already in place, record the full name, reason for change, and date of birth or marriage (if applicable) on the Member Benefits Change Form. As a Plan Administrator, you can make this change directly in WEBS, or send the completed form to your Client Services Representative or Benefits Specialist via email, mail, or fax.
Notify GroupSource of any dependent deletions/terminations as soon as possible.