Family Member Insurance Loss »

Choose A Major Life Event Address Change Adoption Call to Duty Death of a Dependent Death of an Employee Declaration Adult Dependent Dependent - Age 19 Dependent - Age 25 Divorce/Legal Separation Job Change (1/2 time status) Leave of Absence Leaving University Employment Marriage Name Change New Baby Retirement: TRS Retirement: MPERA Retirement: TIAA-CREF Serious Illness - Employee Serious Illness - Family Spouse Change of Employment Spouse Change of Insurance Work-Related Injury

Insurance Action: To add/remove spouse/dependent children to medical/dental/vision/optional life insurance/optional AD&D effective first day of the month following the change in employment/insurance.     Forms » Change Request (In office pick-up) | Choices Enrollment (In office pick-up) Optional Health Care Reimbursement Account Action: To start account, or increase dollar amount of election; new or increased amount can only be used after the date of the employment/insurance change. Consult Benefits Specialist, subject to approval by Employee Benefit Resources.     Forms » Change of Status | Election Form & Compensation Reduction Agreement (In office pick-up) Optional Dependent Care Reimbursement Account Action: Can initiate account or increase dollar amount of election for daycare. Consult Benefits Specialist     Forms » Change of Status | Election Form & Compensation Reduction Agreement (In office pick-up)

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