Timeline for Enrollment
The following chart lists the time frames within which you must enroll for various types of events, and the consequences of not meeting these time frames.
Type of Enrollment
Time Frame
Consequence of Not Meeting Time Frame
Annual Open Enrollment
Annual Open Enrollment
If eligible, you may add or delete yourself and any eligible dependents within the designated annual period.
Your current benefit plan elections (if the plans are available) and dependent coverage will continue into the following year, provided you pay the required premiums, if any.
Change-in-Status Events
Changes are effective the first day of the month following timely notification, except for birth or adoption of a child.
Marriage or Establishment of a Registered Domestic Partnership (Retirees Only)
You may add yourself or eligible dependents within 31 days of marriage or establishment of a registered domestic partnership.
You will not be able to enroll in or add Eligible Dependents to your medical plan until the next Open Enrollment period, unless you have another change-in-status event.
Dissolution of marriage
(including legal separation, final divorce or annulment), or Termination of a Registered Domestic Partnership (RETIREES ONLY)
You must drop your ex-spouse, domestic partner, stepchildren, and any other former dependents within 31 days of final decree or termination of a registered domestic partnership. You may also drop other dependents.
If you cover an Ineligible Dependent, you will be required to pay the Company an amount equal to the portion of the cost of the insured or HMO premiums attributable to the ineligible dependent (or the self-insured premium equivalents) for the period of time during which an Ineligible Dependent is enrolled, up to a maximum of two years of premiums or premium equivalents. Retirees who refuse to make restitution or who default on an agreement to repay the Company will be subject to permanent cancellation of medical plan coverage through Pacific Gas and Electric Company.
Birth or Adoption of Child
You may add your spouse, the newborn or adopted child, and other eligible dependents within 180 days for births or adoptions, with the exception of Kaiser Senior Advantage HMO plan, in which you only have 60 days to notify them (assumption of physical custody or financial responsibility).
Anthem Blue Cross - Administered Plans
Your newborn or newly-adopted child's medical coverage will terminate on the 180th day. You must wait for the next Open Enrollment period to enroll your newborn or newly-adopted child or other eligible dependents in your medical plan if you miss the 180-day deadline, unless you have another change-in-status event.
HMOs
Your newborn or newly-adopted child's medical expenses will not be covered from the date of birth or adoption. You must wait for the next Open Enrollment period to enroll your newborn or newly-adopted child or other eligible dependents in your medical plan if you miss the 180-day deadline unless you have another change-in-status event. Check with your HMO for more details on coverage for newborn and newly-adopted children.
Appointment of Legal Guardianship
You may add legal ward within 31 days of appointment of legal guardianship.
You will not be able to enroll Eligible Dependents in the medical plan until the next Open Enrollment period unless you have another change–in-status event and the change is consistent with the event.
Dropping Enrollment Due to Death of Dependent
You must drop enrollment within 31 days of your dependent`s death.
If you cover Ineligible Dependents, you will be required to pay the Company an amount equal to the portion of insured premiums (or the self-insured premium equivalents) attributable to the ineligible dependent for the period of time during which an Ineligible Dependent is enrolled, up to a maximum of two years of premiums or premium equivalents. Retirees and Surviving Dependents that refuse to make restitution or who default on an agreement to repay the Company will be subject to permanent cancellation of medical plan coverage through Pacific Gas and Electric Company.
Dropping Enrollment Due to Dependent's Loss of Eligibility
You must drop enrollment within 31 days of your dependent`s loss of eligibility.
If you cover Ineligible Dependents, you will be required to pay the Company an amount equal to the insured premiums (or the self-insured premium equivalents) for the period of time during which an Ineligible Dependent is enrolled, up to a maximum of two years of premiums or premium equivalents. Retirees and Surviving Dependents that refuse to make restitution or who default on an agreement to repay the Company will be subject to permanent cancellation of medical plan coverage through Pacific Gas and Electric Company.
Dependent Regains Eligibility
You may add a dependent within 31 days of the date on which your dependent regains eligibility.
You will not be able to enroll in or add Eligible Dependents to the medical plan until the next Open Enrollment period unless you have another change-in-status event and the change is consistent with the event.
Start or End of Spouse's/Registered Domestic Partner's Employment (Retirees Only)
You may add or drop your spouse/registered domestic partner within 31 days of the start/end of spouse`s/ registered domestic partner's employment.
You will not be able to make any changes until the next annual Open Enrollment period unless you have another change-in-status event and the change is consistent with the event.
You or your Spouse/ Registered Domestic Partner Changes from Full-Time to Part-Time Employment or Vice Versa (Retirees Only)
You may add or drop your spouse/registered domestic partner and other Eligible Dependents within 31 days of change.
You will not be able to make any changes until the next annual Open Enrollment period unless you have another change-in-status event and the change is consistent with the event.
Spouse/Registered Domestic Partner Has Significant Change of Health Coverage at Place of Employment (Retirees Only)
You may add or drop yourself, your spouse/registered domestic partner, and other dependents as consistent with the change within 31 days of change.
You will not be able to make any changes until the next annual Open Enrollment period unless you have another change-in-status event and the change is consistent with the event.
Move out of HMO Area
You must change plans within 31 days of move or the date in which your enrolled child begins school outside of the service territory.
You or your child may not be eligible for services under your medical plan, or you may receive lower benefits.
Contact the Member Services of the plan you are enrolled for information of services for dependent students who are away from home.