Life Events

A Qualifying Life Event is a change in your life that makes you eligible to change your benefit elections. 

Qualifying life events include:

  • Marriage
  • Divorce
  • Birth or adoption of a child
  • Death of a dependent
  • Dependent loss of eligibility
  • Gains or loss other benefit coverage

Qualifying Life Events Image

Coverage will be effective as of the date of the Qualifying Life Event.

Complete an enrollment form and submit it to the Benefits Office, along with documentation of the event, within thirty (30) calendar days of the event. If you do not enroll or provide required documentation within the allowed time frame, you will not be able to make a change until the next annual enrollment period or within 30 calendar days of a subsequent qualifying life event.

Enrollment Forms

Check out the below life events to see what you need to do to update your benefits!

  1. Birth or Adoption


Submit the following to the Benefits Department within 30 calendar days of the event:

  • Enrollment form signed and completely filled in with existing or new benefits. You must include the child’s Social Security number on the enrollment form.
  • Copy of birth certificate naming you as the parent. If the birth certificate is not available within 30 days of the birth, a copy of the live birth certificate or birth record from the hospital is acceptable. Send a copy of the birth certificate to the Benefits Department once received.
  • If adoption, a copy of the court order/adoption decree naming you as the child’s parent or current legal guardian AND a copy of the child’s birth certificate.
  • Documents can be scanned and emailed to [email protected] or mailed to the Benefits office at 451 W. Third Street, 9th Floor, Dayton, OH 45422-1340.

If the enrollment form with required documentation is not received within 30 calendar days of the event date, your dependent will not be eligible for coverage until the next annual enrollment period or within 30 days of another life event.

  1. New Marriage
  1. Divorce
  1. Loss/Gain of Coverage
  1. Death of Dependent

Note: If you would like to update your life insurance beneficiaries, the beneficiary forms can be found under the Forms page.