Special Enrollment Rights

You are entitled to special enrollment rights that permit you to change your enrollment outside the initial eligibility period and annual enrollment period, in one of the following circumstances:

• If you add a new eligible dependent through marriage, birth or placement for adoption, you may enroll yourself and your new dependent(s) or change health plans, as long as the request is made within 30 days of the event and documentation is received in a timely manner.
• If you currently have Medicaid or Children’s Health Insurance Program (CHIP) coverage, but lose this coverage because you are no longer eligible, you have 60 days from the date of the Medicaid/CHIP eligibility change to request enrollment in the DXC group health plan.
• If you become eligible for a state’s premium assistance program under Medicaid or CHIP, you have 60 days from the date of the Medicaid/CHIP eligibility change to request disenrollment from the DXC group health plan.
• If you declined enrollment for yourself or your eligible dependents because of other health insurance or group health plan coverage, you may be able to enroll yourself and your dependents in DXC health plan coverage if you or your dependents lose eligibility for that other coverage. However, you must request enrollment within 30 days after the other coverage ends. The loss of other health insurance coverage qualifies for special enrollment treatment only if you satisfy both of the following conditions:

• The affected person was covered under another group health plan or health insurance coverage when coverage under the DXC plan was originally offered to you and
• The loss of other coverage was a result of one of the following:
• Loss of eligibility for or expiration of COBRA coverage that was not due to non-payment or voluntary termination of COBRA coverage; or
• Loss of other non-COBRA coverage due to loss of eligibility, including loss as a result of legal separation, divorce, death, termination of employment or reduction of hours of employment; or
• Termination or significant change of employer contributions.

Qualified Change of Status

All requests for a change in coverage as a result of a qualified change of status (see lists below) must be registered with the DXC Benefits Center within 30 days of the event date. Also, supporting documentation for the change must be submitted within 30 calendar days of the date the event was registered with the DXC Benefits Center. If these deadlines are not met or if the requested change is not consistent with and due to the qualified change of status, the request will not be processed. 

Your next opportunity to change your enrollment will be during the next Benefits Annual Enrollment period, unless you have another qualified change of status, are entitled to special enrollment rights or request other permitted election changes as detailed on this page.

The qualified change of status rules outlined here also apply to changes to post-tax coverages, e.g., dependent life insurance, short-term disability and long-term disability coverage.

Qualified Change of Status for Pre-Tax Contributions and Health FSA Participation

1. Marriage/domestic partnership, divorce, legal separation, annulment, end of a domestic partnership
2. Childbirth, adoption or placement for adoption of a child
3. Death of your eligible dependent
4. Beginning or end of employment for you or your eligible dependent
5. Change in the employment status of yourself or your eligible dependent as a result of the following:
   • A change in status between full-time and part-time worker (and vice versa)
   • Commencement of or return from an unpaid leave of absence
   • Commencement or termination of strike or lockout
   • Any other change in employment status that affects eligibility to receive DXC benefits
6. Change in residence or worksite for you or your eligible dependent that results in loss of eligibility
7. Loss of other coverage as a result of one of the following:
   • Loss of eligibility for or expiration of COBRA coverage that was not due to non-payment or voluntary termination of COBRA coverage; or
   • Loss of other non-COBRA coverage due to loss of eligibility, including loss as a result of legal separation, divorce, death, termination of employment or reduction of hours of employment; or
   • Termination or significant change of employer contributions
8. Your spouse/domestic partner or your eligible dependent becomes eligible for coverage
9. Compliance with a judgment, decree or order relating to medical or dental coverage for a child resulting from a divorce, annulment or legal separation, including a Qualified Medical Child Support Order (QMCSO)
10. You or your eligible dependent loses entitlement to Medicare/Medicaid
11. Significant change in cost of coverage (either increase or decrease)
12. Your eligible dependent is no longer eligible due to attainment of limiting age

Qualified Change of Status: Dependent Care FSA

(initiate or terminate participation, increase or decrease contributions)

1. Marriage/domestic partnership, divorce, legal separation, annulment, end of a domestic partnership
2. Childbirth, adoption or placement of a child for adoption
3. Death of your eligible dependent
4. Spouse/domestic partner employment begins or ends, hours increase or decrease; or loses dependent care assistance through employer
5. Change in your eligible dependent’s eligibility as a dependent under the plan 
6. Significant change in the cost of dependent care (increase or decrease)

Other Permitted Election Changes

You may also make a prospective election change under the following circumstances:

• Other Plan: You may make a prospective election change that is due to and consistent with a change made under your DXC Technology Company Cafeteria Program Eligible Dependents plan from their employer (including another DXC plan) if:
  • The cafeteria plan or qualified benefits plan of that individual’s employer permits participants to make an election change that would otherwise be permitted under proposed or final IRS regulations under Section 125; or
  • That plan’s plan year is not a calendar year.
• Loss of Coverage: You may make a prospective election change to add medical, dental or vision coverage for yourself or your DXC Technology Company Cafeteria Program Eligible Dependents if any of these individuals loses coverage under any group health plan sponsored by a governmental or educational institution.
• Compliance: You may also make an election change to comply with a judgment, decree or order relating to accident/medical or dental coverage for a child resulting from a divorce, annulment or legal separation, including a Qualified Medical Child Support Order (QMCSO).
• Medicare: You may prospectively elect to cancel coverage for you or your DXC Technology Company Cafeteria Program Eligible Dependents when the affected person becomes entitled to coverage under Medicare or Medicaid. You may also prospectively elect to initiate coverage for you or your DXC Technology Company Cafeteria Program Eligible Dependents when the affected person loses eligibility under Medicare or Medicaid.

Remember: Any allowed change must be made within 30 calendar days of the event allowing the change, and the required documentation must be received within 30 calendar days of the date the change was requested.