• Birth, adoption or placement for adoption
• Marriage 
• Spouse gains or loses employment (Requires addition or loss of Group Coverage)
• Spouse's Open Annual Enrollment
• Termination of Employment (Requires loss of Group Coverage)
• Divorce (Requires loss of Group Coverage)
• Death
• Cessation of Dependent Status (such as attaining the age limit) 
• Exhausted COBRA Coverage
• Loss of Coverage Under a Group Plan
• Health Care Market Place Open Annual Enrollment (Drop in District coverage ONLY)

NOTE: If changing a medical plan because of a qualifying event, you must review the TRS ActiveCare Family Status Change document.