BNY Mellon Benefits Guide
What You Can Change
Any election change you make must satisfy the "consistency rule", and you may be asked to provide supporting documentation for all life event changes.
The consistency rule means that you can only change benefits that are directly linked to the qualified change you experience. For example, if you have or adopt a child you can add a new dependent to your coverage. However, you cannot elect a different medical plan when you have or adopt a child since the life event does not have a direct impact on your coverage choice.
The following table lists some common life event changes and the types of benefit adjustments you may request in each situation.
LIFE EVENT CHANGES
LIFE EVENT
BENEFIT
ALLOWABLE CHANGES
Marriage or Domestic Partnership*
  • Medical
  • Dental
  • Vision
Add or discontinue coverage for yourself, your spouse/qualified domestic partner and/or new or existing dependents
  • Spouse/Qualified Domestic Partner Life
  • Child Life
Elect coverage
  • Supplemental Life & Accidental Death and Dismemberment (AD&D)
Increase or decrease coverage
  • Health Care FSA
Increase your contributions
  • Dependent Care FSA
Elect, increase, decrease or discontinue your contributions
Loss of Spouse or Domestic Partner
(divorce, separation, annulment, loss of qualified domestic partner status, death)
  • Medical
  • Dental
  • Vision
Must discontinue coverage for your former spouse/qualified domestic partner
Elect coverage for yourself or dependents who lose coverage under your former spouse's/qualified domestic partner's plan
  • Supplemental Life & Accidental Death and Dismemberment (AD&D)
Increase or decrease coverage
  • Spouse/Qualified Domestic Partner Life
Discontinue spouse/qualified domestic partner coverage
  • Dependent Care FSA
Elect, increase, decrease or discontinue your contributions
Add a New Dependent
(birth, adoption, placement for adoption, foster care, legal guardianship)
  • Medical
  • Dental
  • Vision
Elect coverage for yourself and new or existing dependents
  • Spouse/Qualified Domestic Partner Life
  • Child Life
Add coverage for dependents
  • Health Care FSA
Elect or increase your contributions
  • Dependent Care FSA
Elect or increase your contributions
Loss of Dependent
(change in eligibility or death)
  • Medical
  • Dental
  • Vision
Must discontinue coverage for the dependent who loses eligibility
  • Dependent Life
Must discontinue coverage for the dependent that loses eligibility
  • Dependent Care FSA
Decrease or discontinue your contributions
Employee/Dependent Gains Eligibility for Other Coverage
  • Medical
  • Dental
  • Vision
Discontinue coverage for dependent or discontinue all coverage
  • Supplemental Life & Accidental Death and Dismemberment (AD&D)
Elect, increase, decrease or discontinue your contributions
  • Spouse/Qualified Domestic Partner Life
  • Child Life
Discontinue coverage
Employee/Dependent Loses Eligibility for Other Coverage
  • Medical
  • Dental
  • Vision
Add dependents or elect coverage
  • Supplemental Life & Accidental Death and Dismemberment (AD&D)
Increase or decrease coverage
  • Spouse/Qualified Domestic Partner Life
  • Child Life
Elect coverage
  • Health Care FSA
Elect or increase contributions
  • Dependent Care FSA
Elect, increase, decrease or discontinue your contributions
OTHER EVENTS
ALLOWABLE CHANGES
Certain Court Orders
You may elect medical coverage for your child if a qualified medical child support order (QMCSO) requires coverage under BNY Mellon's plan. You may cancel coverage for your child if your spouse, former spouse or other individual provides coverage for the child because he or she is required to do so due to a judgment, decree or order resulting from a divorce, legal separation, annulment or change in legal custody.
Changes Made Under Another Employer's Plan
You may change your election in response to a change made in your spouse's/qualified domestic partner's employer's plan during that plan's enrollment period. This rule applies only if the other employer's plan has a different plan year.
Significant Change in Medical Provider Network
If there is a substantial decrease in the number of physicians participating in a provider network or an HMO, or if your health plan option is eliminated, you may switch to another health plan option or drop coverage if no other viable option is available. BNY Mellon will determine whether the number of physicians participating in an option has decreased substantially.
Changes in Entitlement for Medicare or Medicaid
If you, your spouse/qualified domestic partner or dependent becomes entitled to coverage under Medicare or Medicaid (other than solely under the program for distribution of pediatric vaccines), you may elect to cancel coverage for the entitled person.
Note: If you become entitled to Medicare or Medicaid and currently have a spouse/qualified domestic partner or dependent(s) covered under the BNY Mellon plan, you may not cancel coverage for yourself only. If you cancel your coverage, coverage for your spouse/qualified domestic partner and dependent(s) will end as well.
Loss of Medicare, Medicaid or Group Health Coverage Sponsored by an Educational or Government Institution
If you, your spouse/qualified domestic partner or your eligible dependent loses eligibility for Medicare or Medicaid or loses group health coverage sponsored by an educational or government institution, you may add coverage for this person(s). This includes a state children's health insurance program (CHIP), a medical program of an Indian Tribal government or the Indian Health Service, a state benefits risk pool or a foreign government group health plan.
* Expenses for your qualified domestic partner and your qualified domestic partner's children are not eligible for reimbursement through either of the FSAs.
Changes to Dependent Care FSA Elections
You may make changes to your Dependent Care FSA election if you experience a qualified life event (as long as it adheres to the consistency rule) or in any of the following additional situations:
  • Provider Change. If you switch to a new dependent care provider that charges a different rate than your previous provider, you may adjust your Dependent Care FSA contributions accordingly.
  • Provider Rate Change. If your dependent care provider's rates change, you may adjust your FSA contributions accordingly. (Note: If your dependent care provider is a relative, you are not permitted to increase your contributions during the year, even if his or her rates increase.)