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Employee Status Changes

Occasionally a participant will request a change in his plan contributions. Medical insurance premiums may change or new benefits may be added that affect his Flexible Benefit Plan. Strict guidelines control when such a change may be granted. "Changes in Status" are outlined in the IRS Regulations governing Flexible Benefit Plans.

There are 2 requirements for allowing a participant to change his/her benefit elections as a result of a Change in Status:

  1. A recognized Change in Status event must have occurred,
  2. The election change being requested must be consistent with that event.

The consistency rule asks, "Is the change in status on account of and corresponding with a change in status event that affects eligibility for coverage by the employee, spouse, or dependent under an employer's plan?" If this general test is met, then one proceeds to specific tests applicable to each specific type of coverage. Yes, it gets complicated! If you have a question about a specific change in status, please feel free to contact us.

To request a status change on behalf of a plan participant, please complete the Status Change Form and submit it to ProBenefits.

Remember, only certain events allow a participant to change his/her benefit election.

Status Changes must be made within 30 days of the change using the Status Change Form provided. The Status Change form must be signed by both participant and employer.

Related items

  • Benefits Bank Account

    Employers whose plans include FSAs should establish a checking account in the bank of their choice to serve as a "benefits" bank account.

  • Key Processing Dates

    Here's a quick reference to help you keep track of our schedule.

  • Legal Compliance

    Federal law requires your company to comply with IRS regulations on proper documentation and reporting.

  • Discrimination Testing

    A Flexible Benefit Plan may not discriminate in favor of key employees or highly compensated employees (see definitions below).

  • COBRA Compliance

    Learn how COBRA laws apply to your Flexible Benefits Plan.