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Changing Your Benefits
There are only two occasions allowing an employee to change their benefits, which are during Annual Enrollment and a qualifying Change of Status, during the year. You have 31 days from the date of the Change in Status event to notify your institution and submit your benefit elections. If you do not make your changes during the 31-day period, your changes cannot be made until the next Annual Enrollment in July, to be effective the following September 1st.
+ Marital Changes
Marriage Divorce and Declaration of Informal Marraige (Common-Law).
With a copy of a court issued document (State of Texas recognized marriage license, signed final divorce decree or declaration of informal marriage).
Click here to view the form.
+ Dependent Changes
Birth, Adoption, Legal Guardianship, Dis-qualification or Re-qualification of a Dependent Qualified Medical Support Order. With a copy of a court issued document, certification of birth, adoption determination, documentation support dependent eligibility or ineligibility or State issued medical support order.
Click here to view the form.
If the Dependent is a grandchild, stepchild or adopted child please complete the Special Dependent Application as well.
If you are Grandparent adding children please complete the Grandchild Certification as well.
+ Other Changes
Involuntary loss of Another Group Coverage, Loss or Gain of Spousal Employment and Death of a covered member or Dependent. With a copy of an original death certificate or documentation supporting the loss or gain of coverage and/or employment.
Click here to view the form.
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