Changing Medical/Dental Enrollment
for Faculty, Staff & Librarians
Special Open Enrollment - Subscriber or Dependent Becomes Eligible for a Medical Assistance Program
| Options |
Required Actions |
| If you are a subscriber and are currently enrolled with medical and dental coverage: |
- You may change your medical and/or dental insurance plan only if you enroll the newly-eligible dependent on your plan.
- 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 medical insurance coverage.
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Within 60 days after notification from the Department of Social and Health Services (DSHS), submit these forms to the Benefits Office:
- Employee Enrollment/Change Form
- Copy of the letter from DSHS indicating you and/or your dependent(s) are eligible for a medical assistance program, such as Medicaid or Children's Health Insurance Program (CHIP).
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| Coverage Begins |
- Health insurance coverage and/or plan change begins on the first day of the month following notification of eligibility for Medicaid or CHIP.
- If you are waiving coverage, insurance coverage ends the last day of the month in which you were notified of eligibility for Medicaid or CHIP.
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| Optional |
- You may enroll, change, or cancel your participation in these optional tax-savings programs.
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| Resources |
Serious Illness/Disability
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.
