Use this process to enter a Qualified Medical Child Support Order (QMCSO) for dependents when you need to add dependents and enroll them into the applicable benefit plans using the On Demand Event Maintenance page.

Step 1: Click on the NavBar Icon > Menu > Benefits > Manage Automated Enrollment > Events > On Demand Event Maintenance.

Step 2: Create an HBE BAS event.

Step 3: Click the Schedule/Prepare Activity button if needed to schedule and prepare the HBE BAS event for use.

Step 4: Once the Process Status is Prepared or Re-enter, click the Election Entry button.

Step 5: Enroll the dependent(s) into the applicable benefit plans.

Step 6: After scheduling, click the Schedule/Prepare Activity button again to finalize preparation of the HBE BAS event.

Step 7: Click on the Election Entry button. The Ben Admin Data Entry window appears.

Step 8: Click on the Option Election tab.

Step 9: Verify the correct benefit plan and coverage level is selected for the Option Code of applicable benefit plans.

Step 10: Click on the Dependents / Beneficiaries tab, and then click on the Change/Add Dependent Data link.

Step 11: Locate the dependent(s). If the dependent(s) do not exist, add the dependent(s).

Step 12: To add the dependent(s), click once for each dependent to add on the "plus" button in the Dependent/Beneficiaries section.

Step 13: A new blank effective-dated row appears and the Dependent/Beneficiary ID is automatically incremented by 1.

Step 14: Click on Edit Name to enter the dependent’s name. The Name page appears.

Step 15: Enter the dependent’s First Name and Last Name.

Step 16: Click OK.

Step 17: Then click on the Address tab.

Step 18: On the Address page, enter the dependent’s address.

Step 19: Click on the Personal Profile tab. The Personal Profile page appears.

Step 20: Enter the dependent’s personal details:

• Date of Birth
• Relationship to Employee
• Gender
• Marital Status
• The Dependent/Beneficiary Type field will auto-populate based on the Relationship to Employee.
• Review As of Date fields:
  • Marital Status, Student, and Disabled As of Date fields appear only on the initial dependent row.
  • Enter the correct As of Date on the initial row.
  • The Smoker and Smoker As of Date fields are not used in CHRS.
• Updating Relationship to Employee:
  • To update, click the button in the Personal History section to insert a new current row.
  • If changing Relationship from Spouse or Domestic Partner to ex-spouse or ex-domestic partner:
  • First remove the employee from benefit plans.
  • Then make the Relationship change effective one day after the coverage change effective date.
  • This ensures the correct Relationship prints on the Medical enrollment form.
  • Note: This means the dependent’s Marital Status Effective Date may not match the coverage change date, but the employee’s Marital Status will be accurate in the Modify a Person page.
• Important: Always update the employee’s Marital Status (if applicable) before generating enrollment forms, especially if the form displays the employee’s marital status.
• Click on the Rider/Orders link to enter court orders for required benefit plan coverage (such as QMCSOs).
  • While Riders/Orders are active, employees cannot drop dependents in eBenefits Employee Self Service.
  • If Campus Benefits Staff try to drop a dependent with a QMCSO in On Demand Event Maintenance, a warning message will display.

Step 21: Enter a Riders/Orders row for each plan type where the order applies.

Step 22: Complete the required fields for each row:

• Plan Type: Click the Look Up icon and select the applicable plan type. (Required)
• Sequence Number: Start with 1 for the first row, then increase by 1 for each additional row. (Required)
• Start Date: Enter the court order/rider start date. (Required)
• End Date: Enter the court order/rider end date, if applicable. (Optional but recommended if known).
• State: Enter the state that issued the order/rider.
• Status: Select the applicable court order status. To inactivate a QMCSO, select Inactive.
• Exception Type: Select the applicable court order type from the dropdown list.
• Court Order Number: Enter the court order or rider number.
• Comment: Enter up to 254 characters. Keep comments factual and objective.

Step 23: Click OK to save the court order/rider information.

Step 24: Click the OK button to save the entered dependent data.

Step 25: Click on the Option Election tab to add the dependent to the applicable benefit plans.

• You may click Enroll All to add all dependents, then remove those not applicable, or individually add the dependent.

Step 26: Complete the enrollment by entering the applicable permitting event code on the CSU Perm Event tab.

Step 27: Complete the enrollment by entering the applicable permitting event code on the CSU Perm Event tab.

Step 28: Finalize the enrollment.

• If applicable, make sure the employee is dis-enrolled from Medical Flex Cash and/or Dental Flex Cash benefit plans before completing the QMCSO enrollment.

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