Changing Medical/Dental Enrollment
for Faculty, Staff & Librarians
Special Open Enrollment - Legal Custody or Legal Guardianship (Extended Dependents)
When court awards custody of dependent(s) to the subscriber and/or subscriber's spouse or qualified domestic partner
| Options |
Required Actions |
| If you are a subscriber and you previously waived medical coverage: |
- You must enroll yourself in medical to add newly-eligible child(ren) to medical insurance coverage.
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Within 60 days of the date of custody, submit these forms to the Benefits Office:
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| If you are a subscriber who is already enrolled: |
- You may enroll newly-eligible child(ren) in medical and/or dental insurance.
- You may change your medical and/or dental insurance plan only if you are enrolling the newly-eligible dependent(s).
- You may waive medical insurance for yourself, and medical and/or dental insurance for your eligible dependents, only if they all have other comprehensive group medial insurance coverage.
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Within 60 days of the date of custody, submit these forms to the Benefits Office:
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| Coverage Begins |
- Coverage and/or plan change begins on the first day of the month following the date custody is awarded unless custody is awarded on the first day of the month, then coverage and/or plan change begins on that day.
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| Optional |
- You may enroll, change, or cancel your participation these optional tax-savings programs.
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| Resources |
Flexible Spending Account
Dependent Care Assistance Program
Adding a Child to Medical/Dental Insurance
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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.
