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Court Order Results in Employee Gaining or Losing Custody of a Dependent

An employee receiving a court order establishing custody or loss of custody, of a dependent can make several changes to benefits and personal employment information. Dependents must meet dependent eligibility guidelines to be eligible for coverage. Employees may initiate changes to the following:


Employee and dependent health and dental coverage
Optional State life insurance
Flexible spending accounts

Personal Employee Information

Name, Address and Phone Number changes
Emergency contact
Tax withholding allowance (W-4)
Direct deposits

Required Documentation

Include a copy of the complete court order or decree when making a change to benefits or personal information.

Tell me about:

Qualifying events
CMS MyBenefits


Maintained by University Human Resources | Contact Information | Last Update: 21-September-2017 | ID: 37