Life Changes

If you have a qualified life event, you can change your coverage elections outside of Annual Enrollment.

What's a qualified life event

A change in your life that allows you to change your existing coverage elections. Any change to coverage must be consistent with your qualified life event.

Examples of qualified life events

Examples of qualified life events include:

Birth
Adoption
Marriage
Divorce
Death of a spouse
Change in employment status
Change in residence that results in a gain or loss of eligibility for coverage

For a complete list of qualified life events, access MyBenefits Online.

Making Changes to Your Coverage

Within 30 days of the date of the qualified life event, contact the Mondelēz International Benefits Center at 1 -800-887-8807 (Option 1 – Benefits; Option 1 – Health & Welfare Benefits). Representatives are available Monday through Friday, 7:00 a.m. to 6:00 p.m. (Central Time). If you don’t notify within the 30-day period, you’ll need to wait until the next Annual Enrollment period to make any changes.

characters holding question mark, light bulb and pencil

	2025	NEW for 2026
When the Pre-65 Plan Begins to Pay:	$500 Deductible: Immediately $2,000 and $3,500 Deductible: After you satisfy your deductible	All Coverage Options: After you satisfy your deductible
Retail Pharmacy (up to a 30-day supply)
Non-Preventive Drugs	You Pay	You Pay
Generic Drugs	$10 copay	$15 copay
Preferred Brand Drugs	30% (after $25 min/$75 max copay)	30% (after $35 min/$85 max copay)
Non-Preferred Brand Drugs	40% (after $50 min/$100 max copay)	40% (after $60 min/$110 max copay)
Mail Order or CVS Retail Pharmacy (up to a 90-day supply)
Non-Preventive Drugs	You Pay	You Pay
Generic Drugs	$25 copay	$37.50 copay
Preferred Brand Drugs	30% (after $62.50 min/$187.50 max copay)	30% (after $87.50 min/$212.50 max copay)
Non-Preferred Brand Drugs	40% (after $125 min/$250 max copay)	40% (after $150 min/$275 max copay)
Note: Out-of-network prescription drug services aren’t covered

	2025		NEW for 2026
Out-of-Pocket Maximums*	$500 Deductible Option		$750 Deductible Option
Out-of-Pocket Maximums*	In-Network	Out-of-Network	In-Network	Out-of-Network
Individual	$3,000	$6,000	$3,250	$6,500
Family	$6,000	$12,000	$6,500	$13,000
* Includes deductible

	2025		NEW for 2026
Out-of-Pocket Maximums*	$2,000 Deductible Option		$2,250 Deductible Option
Out-of-Pocket Maximums*	In-Network	Out-of-Network	In-Network	Out-of-Network
Individual	$4,000	$8,000	$4,250	$8,500
Family	$8,000	$16,000	$8,500	$17,000
* Includes deductible

	2025		SAME for 2026
Out-of-Pocket Maximums*	$3,500 Deductible Option		$3,500 Deductible Option
Out-of-Pocket Maximums*	In-Network	Out-of-Network	In-Network	Out-of-Network
Individual	$7,000	$14,000	$7,000	$14,000
Family	$14,000	$28,000	$14,000	$28,000
* Includes deductible

	2025		NEW for 2026
Deductibles	$500 Deductible Option		$750 Deductible Option
Deductibles	In-Network	Out-of-Network	In-Network	Out-of-Network
Individual	$500	$1,000	$750	$1,500
Family	$1,000	$2,000	$1,500	$3,000

Life Changes

If you have a qualified life event, you can change your coverage elections outside of Annual Enrollment.

What's a qualified life event

Examples of qualified life events

Making Changes to Your Coverage

SNAPSHOT - HOW PRESCRIPTION DRUG COPAYS AND MIN/MAX COINSURANCE LIMITS WILL CHANGE

SNAPSHOT – HOW OUT-OF-POCKET MAXIMUMS WILL CHANGE

SNAPSHOT – HOW DEDUCTIBLES WILL CHANGE