Note: When an employee who is called to active duty in the uniformed services under the Uniformed Services Employment and Reemployment Rights Act (USERRA) loses eligibility for the employer contribution toward PEBB benefits, they regain eligibility for the employer contribution toward PEBB benefits the day they return from active duty. Medical coverage begins the first day of the month in which the employee returns from active duty. 2. Continuation coverage subscriber and dependents For a continuation coverage subscriber and their eligible dependents enrolling when newly eligible due to a qualifying event, medical coverage begins the first day of the month following the day they lost eligibility for PEBB medical plan coverage. 3. Retired employees of a former eployer group and dependents For a retired employee of a former employer group and their eligible dependents enrolling when newly eligible, medical coverage begins the first day of the month following the day they lost eligibility for PEBB retiree insurance coverage. 4. All Subscribers and dependents For a subscriber or their eligible dependents enrolling during the PEBB Program’s annual open enrollment, medical coverage begins January 1 of the following year. For a subscriber or their eligible dependents enrolling during a special open enrollment, medical coverage begins the first day of the month following the later of the event date or the date the online enrollment election using Benefits 24/7 (once available) or the required form is received. If that day is the first of the month, medical coverage begins on that day, except for a Medicare Advantage or Medicare Advantage Prescription Drug plan, which will begin the first day of the month following the date the enrollment election is received online or the required form is received by the PEBB Program. If the special open enrollment is due to the , or when the subscriber has birth or adoption of a child assumed a legal obligation for total or partial support in anticipation of adoption of a child, medical coverage will begin as follows: • For an employee, medical coverage will begin the first day of the month in which the event occurs. • For a newly born child, medical coverage will begin the date of birth. • For a newly adopted child, medical coverage will begin on the date of placement or the date a legal obligation is assumed in anticipation of adoption, whichever is earlier. • For a spouse or state registered domestic partner of a subscriber, medical coverage will begin the first day of the month in which the event occurs. If the special open enrollment is due to the enrollment of an extended dependent, or a dependent child with a disability, medical coverage will begin on the first day of the month following the event date or eligibility certification, whichever is later. E. Making changes 1. Removing a dependent who is no longer eligible A subscriber must provide notice to remove a dependent who is no longer eligible due to divorce, annulment, dissolution, or a qualifying event of a dependent ceasing to be eligible as a dependent child as described under “Dependent eligibility.” The notice must be received within 60 days of the last day of the month the dependent no longer meets the eligibility criteria. • An employee must provide notice online using Benefits 24/7 (once available) or by submitting a written request to their employing agency. • Any other subscriber must provide notice online using Benefits 24/7 (once available) or by submitting a written request to the PEBB Program. Consequences for not submitting notice within the required 60 days may include, but are not limited to: PEBB_VA_2024 53