Changing Coverage During the Year (Change-in-Status Events)
Following is a list of some eligible change-in-status events, if you are currently enrolled in a medical plan.
  • Marriage or the establishment of a registered domestic partnership (for retirees only)
  • Dissolution of marriage (including final divorce or annulment), legal separation, or termination of a registered domestic partnership. (Please note that you cannot enroll your ex-spouse or former registered domestic partner on your Company-sponsored health care plans even if a court orders you to provide coverage.) (for retirees only)
  • The birth or adoption of a child, or your court-ordered appointment of legal guardianship for a child.
  • The death of your spouse, registered domestic partner or child.
  • Your child reaching the plan's age limit or entering the military.
  • Your dependent child regaining eligibility.
  • You or your dependent becoming Medicare- or Medicaid-eligible.
  • A move out of your medical plan's service area (applies to change of medical plan only).
  • A change in the employment of your spouse/registered domestic partner or dependent that results in a gain or loss of health care coverage (for retirees only)
  • A change to or from full-time or part-time employment by you or your spouse/registered domestic partner or dependent, if health plan eligibility or premium cost is affected (for retirees only)
  • The retirement of your PG&E active employee spouse or registered domestic partner if you are covered as his or her dependent.
Changes Consistent with the Change-in-Status
After you have enrolled for benefits, you will not be able to make changes to your coverage until the next Open Enrollment period unless you experience an eligible change-in-status event. If you have a change-in-status event as described in this section, you may make changes in your benefits coverage that are generally consistent with your change-in-status event. For example, if you get divorced, you must disenroll your ex-spouse; however, you may not add other dependents or change plans.
Don't Miss the Deadlines!
Call the PG&E Benefits Service Center within 31 days of any change-in-status event (180 days for births or adoptions, with the exception of 60 days for Kaiser Senior Advantage HMO plan) that may affect your benefits. Written documentation may be requested. If you miss the deadline, you will not be able to add dependents until the next Open Enrollment period. Provided you notify the PG&E Benefits Service Center within the deadline listed above, the change in coverage for all newly-enrolled dependents will take effect:
  • on the date of birth of your newborn or newly-adopted child(ren); or
  • on the date you assume physical custody or financial responsibility for an adopted child; or
  • on the first day of the month following notification of your change-in-status event for all other status changes.
Change-in-Status Events and Other Changes Involving a Registered Domestic Partnership
You may request benefit changes if you establish a registered domestic partnership, or experience a change in the status of your registered domestic partnership. For example, if you are participating in a medical plan and, as a result of establishing a registered domestic partnership, your registered domestic partner adds you to his/her medical coverage, you may drop medical coverage mid-year for yourself because your health care premium contributions are after-tax. If the mid-year change(s) you request results in an increased cost, such as adding a new registered domestic partner and/or their dependent(s) to your medical coverage, the amount of increase must be taxed as imputed income.
If you have a change in a registered domestic partnership contact the PG&E Benefits Service Center to determine what mid-year changes, if any, you may be allowed to make and what you must do to elect a change. If your requested changes are not allowed on a mid-year basis, you will need to wait until the next Open Enrollment to make your changes.