Death & Survivorship
You can add, change or remove benefit coverage outside of annual enrollment if these qualifying life events occur to you:
-
- Deceased spouse
- Deceased children
How To Make Changes To Your Benefits
- Review the benefits you can change. To see the details of the benefits,click on the benefit below
- Review the supporting documents required below
- Download and fill out Enrollment Form
- Bring supporting documents and completed enrollment form to Human Resources
- All forms must be received within 30 days of the date of the event.
- Coverage begins the date of the event.
Plans You May Be Able To Change |
|---|
| Medical |
| Dental |
| Vision |
| Health Care FSA |
| Dependent Day Care FSA |
| Supplemental Life Insurance |
| Supplemental Life for Your Spouse |
| Supplemental Life for Dependent Children |
Supporting Documents
When making mid year benefit changes due to a death of a spouse or child you are required to submit supporting documents to Human Resources prior to approval.
Examples of supporting documentation and actions (not all inclusive)
Action | Supporting Documentation Needed |
|---|---|
| Remove spouse, or dependents from our plans | Death Certificate |
Change Your Benefits |
|---|
| Overview |
| Birth & Adoption |
| Marriage |
| Divorce or Annulment |
| Death & Survivorship |
| Gain or Loss of Coverage |