If your Spouse loses their own benefits plan and wants to be covered by the BCPSEA Benefits Plan, the following steps must be taken:
- If you wish to apply for coverage in the BCPSEA Benefits Program, you must complete the BCPSEA Benefits Change form within 31 days of Spouse’s benefits plan terminating and provide to the Benefits Administrator.
- If you wish to make a change in your BCPSEA Benefits Program coverage, you must complete the BCPSEA Benefits Change form and provide this form to the Benefits Administrator.
- If you wish to waive BCPSEA coverage, you must also complete the Waiver of Coverage form.
This change will be effective on the date of application.
- If Family Status has changed (ie. from Couple to Family), appropriate premium adjustments (if applicable) will be effective the 1st of the month coincident with or next following date of change.