

Lay Group
Qualifying Life Event
Terminations
QLE
Welcome to the Qualifying Life Events (QLE) Page
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A Qualifying Life Event (QLE) can allow you to make changes to your benefits outside of the regular open enrollment period.
Whether it’s a change in your family status, employment, or other significant life events, we’re here to help guide you through the process.
If you've recently experienced a QLE, you may be eligible to make adjustments to your benefits. Let’s get started!
QLE & Termination Enrollment Guide
This section is designed to help you efficiently change and terminate team members and ensure they are properly adjusted in their benefits. From a step-by-step checklist to necessary forms and documentation, you’ll find everything you need to guide you through the benefits change and termination process. Use this guide to stay organized, meet important deadlines, and ensure a smooth and seamless experience for both you and your team members.

Heath
Dental
Vision
To update your benefits based on a Qualifying Life Event (QLE) or termination, please use the link below to access the QLE form. This form will guide you through the necessary steps to submit your information and make any eligible changes to your benefits. Be sure to complete the form as soon as possible to ensure that your updates are processed in a timely manner. If you have any questions or need assistance, please don’t hesitate to reach out to our benefits team.

Basic Life
Voluntary Life
Long Term Disability
Coming Soon From the Hartford

Resources
Coming Soon
QLE Checklist & Submission Instructions
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To ensure benefits are processed effectively, each location must submit the appropriate QLE form to St. Ambrose within 30 days of the QLE:
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* QLE Change Form – Health, Dental & Vision ​​​​
and or:
*Change Form – The Hartford (for Basic Life, Voluntary Life and Long-Term Disability coverage)
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These forms can be submitted via secure email, secure web portal, or fax. Timely submission is crucial to ensure proper processing of benefits.
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