Do you need to remove a dependent(s)?

Divorce or termination of a domestic partnership

You have 60 days from finalization of the divorce (signature date of Judge) or termination of domestic partnership to report the event to the Employee Benefits Office.  The former spouse/partner is entitled to a COBRA (continuation of coverage) offer.

The former spouse/partner loses eligibility for health plan enrollment on the date of the event.  Failure to report a divorce or termination of a domestic partnership in a timely manner can have a financial impact on an employee's paycheck.

Process this removal by filling out the below forms:

Recommended:

There are other programs that may need to be addressed such as PERS and Deferred Compensation.  Contact those programs directly to update your information.


Loss of a family member due to death

Please accept our deepest condolences on your loss.  Contact the Employee Benefits Office for assistance in person. 

The documents below are required to make the necessary changes.

Recommended:.

Other programs that may need to be addressed such as PERS and Deferred Compensation.  Contact those programs directly to update your information.