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Dependent's Eligibility Changes

When a dependents eligibility status changes, or they become ineligible for other coverage, employees can make several changes to benefits and personal employment information. Employees may initiate changes to the following:


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

Personal Employee Information

Tax withholding allowance (W-4)
Direct deposits

Required Documentation

Include the following documentation when making a change to benefits or personal information:

  • Dependent certification form, if adding a dependent due to full-time student status.
  • Letter from accredited school verifying enrollment in the current academic semester.

Tell me about:

COBRA coverage
Qualifying events
CMS MyBenefits


Maintained by University Human Resources | Contact Information | Last Update: 21-September-2017 | ID: 39