Death of a Dependent »
    
  • Insurance

  • Action: To remove spouse/child from medical/dental/vision/optional life insurance/optional AD&D effective on the date dependent passed.
        Forms »
    Choices Enrollment Form
  • Optional Health Care Reimbursement Account:

  • Action: Decrease dollar amount of your election(s).
        Forms »
    Change of Status
    Election Form /Compensation Reduction Agreement (In office pick-up)
  • Dependent Life Insurance Claim

  • Action: To research benefit.
    Consult Handbook

    Action: To file a claim.
        Resources » Consult Benefits Specialist

  • Optional AD&D Claim

  • Action: To file a claim.
        Resources » Consult Benefits Specialist

  • Taxes

  • Action: Change number of exemptions.
        Forms » W4

  • Beneficiary Changes

  • Action:You may wish to reassign beneficiary status for the following:
        Basic Life/AD&D » use the reverse side of the Choices Enrollment (In office pick-up).

        Retirement »
    TRS
    PERS Enrollment Card (In office pick-up)
    TIAACREF
        Final Salary Payout »
    Decedent's Warrant
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