Qualifying life events: a checklist for the HR side
A repeatable intake process for gathering facts, checking the plan, and communicating the next step without guessing.
In this guide · 5 sections
01
Gather the basic facts
When an employee reports a life change, gather the basic facts without deciding eligibility on the spot. Record the type of event, when it occurred, and the coverage change requested.
02
Check the current plan documents
Check the current plan documents and administrative process. Events, required documentation, available changes, and timing can differ by plan and circumstance.
03
What documentation is needed
Tell the employee what documentation is needed and how to submit it securely. Avoid collecting sensitive information through an informal channel when an approved system is available.
04
Track the request
Track the request through review, approval or denial, system entry, and confirmation. A checklist reduces the chance that one part of the change is updated while another is missed.
05
When the case is unusual
When the case is unusual or the timing is uncertain, confirm the path with the carrier, broker, administrator, plan document, or counsel before promising an outcome.
