Change-in-Status Events
Following is a list of some eligible change-in-status events.
Special Rules for Registered Domestic Partnerships
Events that relate to a registered domestic partnership, such as the establishment or dissolution of that partnership, are not change-in-status events which permit a change in your pre-tax contributions unless your registered domestic partner is your tax dependent or the children of your registered domestic partner are your tax dependents. See "Change-in-Status Events and Other Changes Involving a Registered Domestic Partnership" under "Change-in-Status Events."
  • Marriage or the establishment or a registered domestic partnership (for employees and 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.)
  • The birth or adoption of a child, or your court-ordered appointment of legal guardianship for a child.
  • The placement of a child for foster care.
  • The death of your spouse/registered domestic partner or dependent child.
  • Your child or your registered domestic partner's 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 change in caregivers, or a change in the cost for the services of a caregiver who is not a relative (for Dependent Care Flexible Spending Account purposes only).
  • A move out of your HAP claims administrator'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.
  • 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 is affected.
  • The retirement of your PG&E active employee spouse or registered domestic partner if you are covered as his or her dependent on a health care plan.
  • An unpaid leave of absence taken by you, your spouse or registered domestic partner that significantly affects the cost of your health care coverage. (Please note that the event of beginning or returning from an unpaid leave of absence, by itself, is not a change-in-status event).
  • A Management or Administrative & Technical employee on an unpaid leave of absence can cancel their benefit coverage and enroll under the coverage of his/her Management or Administrative & Technical PG&E spouse or registered domestic partner for medical, dental and/or vision.
Changes Consistent with the 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.
In addition, with certain status changes, you can either join a plan if you are not already in one (see "HIPAA Special Enrollment Periods" in the Health Care Participation section), or you can "opt out" of a plan by declining coverage (see "Declining Medical, Dental and/or Vision Coverage" under "You Join PG&E").
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) that may affect your benefits. Written documentation may be requested. After 31 days 180 days for births or adoptions), you will not be able to add dependents, or change the amount you contribute to your Health Care Flexible Spending Account/Dependent Care Flexible Spending Account until the next Open Enrollment period. Provided you notify the PG&E Benefits Service Center within 31 days of any change-in-status event (180 days for births or adoptions), 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. However, because federal law does not generally recognize domestic partnerships, any mid-year changes you request will not be allowed to cause a change in the cost for benefits that you pay for with pre-tax contributions. For example, if you are participating in the Health Account Plan (HAP) and, as a result of establishing a registered domestic partnership, your registered domestic partner adds you to his/her medical coverage, you may not drop medical coverage mid-year for yourself because the change would reduce your pre-tax contributions. If the mid-year change(s) you request results in an increased cost, such as adding a new registered domestic partner and/or his/her dependent(s) to your medical coverage, the amount of increase must be taxed as imputed income. You may only make a mid-year change to benefits that you pay for on an after-tax basis.
The exception to this rule is if your registered domestic partner, or the child(ren) of your registered domestic partner are your tax dependents under Internal Revenue Code Section 152, as amended by Code Section 105(b). If you fall under this exception, you must fill out a "Certification of Tax Dependency" form annually to receive the increased benefit for your dependents without tax implications.
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.