Changing Medical/Dental Enrollment
for Faculty, Staff & Librarians

• You must enroll yourself in medical to add your new child to medical and/or dental.
• You may enroll your spouse/QDP in medical and/or dental provided you enroll the new child.

Within 60 days of the birth, even if adding your new child does not increase the premium:

• Submit the Employee Enrollment/Change Form.
• In addition, you may enroll, change, or cancel your participation in either of these tax-savings programs. Enrollment is optional.
  • Flexible Spending Account
  • Dependent Care Assistance Program

• Enroll your new child in medical and/or dental.
• Enroll your spouse in medical and/or dental provided you enroll the new child.
• Change your medical and/or dental plan provided you enroll your child.
• Waive medical for yourself, and medical and/or dental for your eligible dependents, provided that they have other comprehensive group coverage.

• Within 60 days of the birth, even if adding your new child does not increase your premiums, submit the:
• Employee Enrollment/Change form
• Spouse or Qualified Domestic Partner Certification form if enrolling a spouse or domestic partner.
• In addition, you may enroll, change, or cancel your participation in either of these tax-savings programs. Enrollment is optional.
  • Flexible Spending Account
  • Dependent Care Assistance Program

• New Child: Coverage begins on the date of birth.
• Spouse: Coverage begins on the first day of the month the birth occurs.
• Plan Change: New plan coverage begins the first day of the month the birth occurs.