29 ELIGIBILITY AND PARTICIPATION REQUIREMENTS Special Enrollment Period Once you are enrolle d , you may make changes to your Benefit Program E lections only during open enrollment or if you have a change in status that affects the eligibility of you or your dependents, and the requested election change corresponds (e.g. if an employee gets married they may add their spouse to the plan) w ith the effect on your eligibility. A Qualified Change in Status includes: • A change in your Legal Marital Status such as marriage, death of a spouse, divorce, legal separation or annulment. • A change in your n umber of d ependents such as birth, a , placement for adoption, or death of a child. • A change in e mployment s tatus such as commencement or termination of employmen t for you, your spous e , or your d ependent. • A change in work s chedule such as a reduction or increase in hours including a switch between part - time and full - time, a strike or lockout, or commencement or return from an unpaid leave of absenc e for you, your spouse , or your d ependent. • If your d ependent satisfies or ceases to satisfy the requirements for u nmarried if applicable . • Dependents due to factors such as age or dependent status . • A change in residence or w orksite for you, your spouse , or your D ependent. • The receipt of a Qualified Child Support Order . • A change in Entitlement to Medicare or Medicaid for you, your spouse or your d ependent. • A change in Eligibility for COBRA for you, your spouse or your d ependent while you are still an active employee. • HIPAA Special Enrollment Opportunities : o Special enrollment opportunities when a current employee or a current employee’s dependent loses other coverage (coverage loss special enrollments) o Special enrollment opportunities due to birth, adoption, or placement for adoption of a child with a current employee or a participant who is not a current employee, or marriage of a current employee or a participant who is not a current employee (new depe ndent special enrollments) o Special enrollment opportunities when a current employee or a current employee’s dependent loses Medicaid or CHIP coverage or becomes eligible for Medicaid or CHIP premium assistance (Medicaid and CHIP special enrollments ) • Health Insurance Premium Payment (HIPP) is also an allowed change . U nder limited circumstances, your Employer may permit you to make a mid - year election change that correspond s to ch anges made by your spouse’s or D ependent’s employer plan (i.e. during the other plan’s open enrollment period ). However, all election changes must be requested within 30 days of the event in question , with the exception of Me dicare/Medicaid change (which must be requested within 60 days of the event in question ) unless stipulated differently by state regulations or by carrier contract .