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Changing Medical/Dental Enrollment
for Faculty, Staff & Librarians

Special Open Enrollment - Death of a Dependent

If you experience the loss of a dependent (such as a spouse, Qualified Domestic Partner, or child), we recommend that you contact the Benefits Office at 206-543-2800 to make an appointment with a Benefits Consultant who will help you file the necessary forms, review your current UW benefits package, and answer your questions.

Options Required Actions
If you are the subscriber and you previously waived medical coverage:

You must enroll in medical if you do not have other group medical coverage.

Within 60 days of the date of death, submit this form to the Benefits Office:

If you are the subscriber and are already enrolled:

You must:

  • Remove the decedent's name from your plan so that:
    • You will not be billed for claims paid by the health plan for services after the date of death.
    • You will not be responsible for premiums paid by the employee/employer for the dependent's health plan enrollment after the date of death.

You may:

  • Change your medical and/or dental plan.

Within 60 days of the date of death, submit this form to the Benefits Office:

Coverage
  • Coverage and/or Plan Change: Begins the first day of the month following the dependent's loss of eligibility due to death.
  • Decedent: Enrollment ends the last day of the month in which the death occurred.
Important Reminders
Resources

UW CareLink - Faculty and Staff Assistance Program

Flexible Spending Account

Dependent Care Assistance Program

Life Insurance

Long Term Disability Insurance

 

Beneficiary Designation/Change Forms:

Long Term Disability Change Form

Life Insurance Beneficiary Designation/Change Form

DRS Retirement Plan Beneficiary/Change Form

UWRP Beneficiary Designation/Change - Contact your fund sponsor(s) for the appropriate form.

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