What’s a qualifying life event?
Qualifying life events that allow you to make midyear changes:
Divorce or legal separation
Beginning or ending a domestic partnership
A dependent child reaches age 26
An eligible family member gains or loses coverage from another source (such as a spouse’s employer plan)
A move to a residence where your current plan is not available
The death of a dependent, spouse, or domestic partner
Please note: you have 30 days from the date of the qualifying life event to make a change.
How to make change happen
You have 30 days from the date of a qualifying life event to request applicable benefit changes.
Watch out: The 30 days start on the effective date of the life event. For example, if you get married on April 10 you have until May 10 to add your spouse to your Samsara medical plan.
To submit changes, go to Workday > Benefits worklet > Change Benefits > select the appropriate qualifying event type and attach supporting documentation.
Other things to think about
Depending on the life change that kicked things off, you may want to update more than just health care coverage. Consider whether other changes are in order.
Life insurance coverage
Beneficiaries for your life insurance and 401(k)
Address in Workday
Tax withholding status (find Form W-4 in ADP)
If you leave Samsara, your health benefits end on the last day of your last month here, and life and disability benefits end on your last day of employment. But leaving Samara isn’t the end of the world (even though we’ll miss you a lot). And it doesn’t have to be the end of your benefits either. You have options for continuing or converting your coverage.
Continuing health coverage under COBRA
COBRA is a much-cooler-sounding name for a bit of federal legislation called the Consolidated Omnibus Budget Reconciliation Act. Under COBRA, you and your covered dependents can pay to keep your medical, dental, vision, and Health Care Flexible Spending Account benefits.
Here’s what you need to know about COBRA:
Optum handles the administration of COBRA for Samsara and eligible participants.
If you or a family member are eligible for COBRA, you’ll receive an enrollment packet directly from Optum with the necessary forms to make your COBRA elections or changes.
You have 60 days from your notification date or coverage end date to enroll in COBRA. You’ll be able to continue the same coverage you had as an active employee.
If you decide to enroll in COBRA coverage, you’ll pay monthly payments for the full premium, plus a 2% administration fee.
COBRA coverage is generally available for up to 18 months, with additional extensions available under certain circumstances.
If you have questions about COBRA coverage, reach out to Optum at (855) 687-2021 or at email@example.com.
Continuing other coverage
If you leave Samsara, you can continue other benefits coverage:
You can convert your life insurance coverage to an individual policy or port (take with you) your current term coverage. You must apply for the coverage within 30 days of your termination date. You’ll receive information about how to convert or port your life insurance from Guardian after your employment with Samsara ends.
You may keep you Samsara 401(k) accounts active with Fidelity and your HSA account with Forma (formerly Twic). Additional fees may apply.
More Valuable Resources
We’ve partnered with Alliant Employee Benefits to make sure you have personalized support when you need it. You have access to Benefits Advocates who you can contact directly via phone or email for benefits help.
Or call: (925) 378-6828
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