| Options | Required Actions |
|---|---|
| If you are the subscriber and you previously waived medical coverage: | |
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Within 60 days of the court order, submit these documents to the Benefits Office:
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| If you are the subscriber and you are currently enrolled in medical and dental coverage: | |
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Within 60 days of the court order, submit these documents to the Benefits Office:
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| Important Note* | |
The Benefits Office is required to act on court and medical support orders received by an issuing agency such as the Department of Social and Health Services (DSHS). Upon receipt of the court or medical support order, we will proceed to enroll the employee and/or dependent(s) listed in the order in a medical and dental plan regardless of whether the employee has received a copy of the order or submitted the forms listed above. Questions or concerns should be directed to the issuing agency, not the Benefits Office. |
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| Coverage Begins | |
Coverage and/or insurance plan change begins on the first day of the month following the change in status unless the change in status occurs on the first day of the month, then coverage and/or the insurance plan change begins on that day. |
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| Optional | |
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| Resources | |
Disclaimer: The Qualifying Life Event(s) shown above highlights benefit options arising from a change in family status. It does not substitute for official plan documents. If there is a conflict between the information on this site and an official plan document, the official plan document will govern. Plan availability and eligibility may change depending on your employment status and/or actions of the Washington State Health Care Authority.
Changing Enrollment