Death of Domestic Partner

(You must complete the Affidavit of Termination of Domestic Partnership form.)

Health Insurance
  • You will remove your domestic partner from coverage. 
  • Domestic partner child(ren) must be removed.
  • You may enroll in coverage or add your children that lost coverage under your deceased domestic partner’s plan.
  • You may change your health plan if you are adding your children that lost coverage under the deceased domestic partner’s plan.

Dental Insurance
  • You will remove your domestic partner from coverage. 
  • Domestic partner child(ren) must be removed.
  • You may enroll in coverage or add your children that lost coverage under your deceased domestic partner’s plan.

Health FSA
  • You may decrease your contribution to reflect loss of your domestic partner and domestic partner's eligible family members as long as they are tax dependents.

Dependent Care FSA
  • You may decrease contributions if event decreases dependent care expenses for domestic partner's eligible family members as long as they are tax dependents. 

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.