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

Health Insurance
  • You may add the eligible dependent.

Dental Insurance
  • You may add the eligible dependent.

Health FSA
  • You may enroll or increase contribution to the health FSA.

Dependent Care FSA
  • No change is allowed.

Supplemental Life Insurance
  • No change is allowed.

Updated 06/2019