Domestic Partner’s Dependent Eligible Again by Becoming a Full-Time Student

(You must complete the Certification of Full-Time Student Status form. Contact your Human Resources Associate for assistance in making the change.)

Health Insurance
Dental Insurance
Health FSA
  • No change is allowed.
Dependent Care FSA
  • No change is allowed.
Supplemental Life Insurance
  • If the Domestic Partner's dependent is the employee's tax dependent, 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.

Updated 06/2019