Qualifying Life Events (QLE) & Dependent Eligibility (DE)
Qualifying Life Events (QLE)
Making changes to your coverage due to a QLE must be completed within 30 days of the QLE.
Examples of QLEs are:
birth of a child
loss of other coverage
marriage
divorce
now eligible for other coverage
Before these changes can be approved, documentation of the QLE must be provided within the 30 day restriction.
Examples of approved documentation include:
a Certificate of Creditable Coverage from an employer
a copy of a new insurance card (must reflect coverage effective date)
birth certificate
Verification of Facts from the NC Department of Health and Human Services Vital Records
court ordered documents signed by a judge.
Please refer to the State Health Plan (SHP) Required Documentation for Qualifying Life Events (QLE) & Dependent Eligibility (DE) for more information on required and acceptable documentation.
These documents will need to be uploaded to the SHP “Document Center” of your landing page once your log into eBenefits or you can provide the documentation to April Fargis the Rockingham County Schools Health Benefits Representative (HBR).
Dependent Eligibility (DE)
If you will be adding a spouse and/or child to your coverage, you must provide Dependent Eligibility Documentation.
Please refer to the SHP Required Documentation for QLE & Dependent Eligibility that details the required documentation.
Instructions on how to enroll or make changes to your coverage due to a QLE:
Navigate to the SHP website
Click on eBenefits
Click on “Access your Benefits via eBenefits”.
You will be prompted to enter your Login ID and Password
Your Login ID is your first name, the first initial of your last name and the last 4 (or possibly last 5) digits of your Social Security Number
If you cannot remember your password, click on “Reset your Account” located under the “Login” button. If you experience technical issues or have questions, please call 1-855-859-0966 for the Eligibility and Enrollment Support Center, Monday – Friday from 8am to 5pm.