Employee, Spouse, or Dependent Changes Residence and Becomes Ineligible under Employer’s Plan or for Current Benefit Option

Health Insurance
  • You may change your health plan.  

Dental Insurance
  • No change is allowed.

Health FSA
  • No change is allowed.

Dependent Care FSA
  • You may increase or decrease contribution only if child care provider changes. 

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.

Updated 06/2019