Domestic Partner’s Dependent No Longer Eligible Because of Age, Student Status, or Marital Status

( You must complete the Domestic Partnership: Cancellation of Health and Dental Coverage form.)

Health Insurance
  • You may only cancel coverage for dependent that is no longer eligible. 

Dental Insurance
  • You may only cancel coverage for dependent that is no longer eligible. 

Health FSA
  • You may decrease or cancel contribution if the eligible domestic partner’s family members are tax dependents.

Dependent Care FSA
  • You may decrease or cease the election if the dependent reaches the age of 13 or becomes capable of self-care, if the domestic partner and dependent are tax dependents.

Supplemental Life Insurance
  • No change is allowed.