If you do not have a Qualifying Event (marriage, birth, etc.) you can add or remove dependents at Open Enrollment. Annual Open Enrollment takes place during the month of October and the changes that are made at that time will be effective at the next plan year (January 1st of the following year).Take a look at the Benefit Guide for information on eligible mid-year changes.
A dependent is eligible to continue coverage on the member’s plans over the age of 26 provided that we have the following:
Documentation that the dependent has been deemed Disabled by a Licensed Medical Physician.
Kaiser - You must renew this documentation every 2 years. You may do so by contacting their disabled dependent department at 858-614-3584 or via email at CA-DI-Dependents@kp.org.
Anthem - You must update documentation every two years unless the doctor diagnoses the condition as lifelong. Please call the member service number on the back of your card to update.
Marriage - A Marriage Certificate is an official document while a Marriage License is a temporary document.
Divorce - We must have a certified Divorce Decree that is signed by the judge. Please make sure it indicates the dissolution date and has a judge’s signature. We cannot remove a spouse before the finalization of the divorce.
Birth - A Birth Certificate is an official document while a Proof of Birth is considered a temporary document. The Proof of Birth will be located in the hospital paperwork at the time of discharge. The Birth Certificate will NOT be mailed to you. When ready, you must go the county recorder’s office in the county your child was born in. Fees will apply at the time of pick up.
Legal Guardianship - Court Order
Death - Death Certificate
Proof of Loss of Coverage - The document must indicate all names of the dependents who are losing coverage, the plans that they are losing (i.e. medical, dental and/or vision) and the date that coverage ends. We do not need a reason why benefits are being terminated.
Proof of Other Coverage - The document must indicate all the names of the dependents who are gaining other coverage, the plans that they are gaining (i.e. medical, dental and/or vision) and the date the other coverage begins.
Once you are promoted you are no longer eligible for RSA medical plans but you have the option to keep your ancillary plans (supplemental life, dental, vision, etc.).
You will receive a promotion packet in the mail discussing your options to keep management membership and/or to continue your supplemental plans. If you would like to cancel the plans you may do so by filling out the Management Options Form and return it to RSA. If you wish to cancel membership, you may do so by emailing the Benefit Trust staff. If you do not respond, RSA will assume you intend to keep your plans and will continue to pull deductions.
Please note that your medical insurance will automatically term the first of the following month from which you were promoted.