* Only allows removal of spouse from health and dental coverage.
| Health Insurance |
- You must remove your former spouse and former spouse’s eligible family members from coverage.
- You cannot remove other dependents from coverage unless they are added to your former spouse’s plan.
- You may enroll yourself in coverage and add dependents if the event causes loss of coverage under former spouse’s plan.
- You may change your health plan if you are adding dependents that lost coverage under your former spouse’s plan.
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| Dental Insurance |
- You must remove your former spouse and former spouse’s eligible family members from coverage.
- You cannot remove other dependents from coverage unless they are added to your former spouse’s plan.
- You may enroll yourself in coverage and add dependents if the event causes loss of coverage under former spouse’s plan.
|
| Health FSA |
- You may decrease your contribution to reflect loss of your spouse’s eligibility.
- You may enroll or increase your contribution if coverage is lost under your spouse’s health or health FSA plan.
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| Dependent Care FSA |
- You may enroll or increase contributions if event increases dependent care expenses or causes loss of coverage under spouse’s plan.
- You may decrease contributions if event decreases dependent care expenses.
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| Supplemental Life Insurance |
- You may enroll or increase the amount of your coverage. Satisfactory evidence of insurability is required.
- You may cancel or decrease the amount of your coverage.
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Updated 06/2019
