Add New dependents (birth, adoption, marriage or new domestic partnership).

Did you acquire new dependent(s)?

Birth, Adoption, Placement for Adoption or Legal Guardianship

Employees have 90 days from the birth, adoption or placement for adoption/legal guardianship to report the event to the Employee Benefits Office in order to enroll newly eligible dependents.   If requested within 90 days, the new dependent(s) will be added retro-active to the date of eligibility (birth/adoption/placement date).  Newborn infants are automatically covered for the first 30 days on the mother's health insurance without enrollment paperwork, however, to continue the coverage, a change form needs to be submitted to the Employee Benefits Office. 

This life event allows an employee to not only add new dependent(s), but also to add spouse/domestic partner or change health plan carriers.

The documents below are required to add new dependents* to health plan coverage and/or change plan elections.

*If adoption or legal guardianship, include copies of the court papers placing the child.


Marriage or New Domestic Partnership

Employees have 90 days from the date of marriage, registration (State or County) of domestic partnership or satisfying the 6 month waiting period of shared residency to report the event to the Employee Benefits Office in order to enroll newly eligible dependents.  Eligible dependents include the new spouse/partner and children of the spouse/partner who meet child eligibility requirements under County Health Plans.

This life change allows an employee to not only add new dependents, but also to change health plan carriers or opt out of coverage* if new coverage is provided by spouse/partner.

The documents below are required to add new dependents to health plan coverage and/or change plan elections.

CHANGE FORMS are 

The documents below are not required, but recommended.

  • **
  • - required if you are seeking insurance higher than the guaranteed amount or applying after the 31-day window for new eligibility
  • Affidavit of Marriage-Domestic Partnership (176.4 KB) - Required to add a Spouse/DP to any benefit plans

**Spouse/DP Lifestyle Application - A new spouse/partner is eligible for guaranteed coverage up to $30,000 if requested within 30 days of the qualifying event.

All changes will be effective the first of the month following receipt of completed paperwork.

There are other programs that may need to be addressed such as PERS and Deferred Compensation. You will need to contact those programs you are participating in to update their information.