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Work/Life: Your Dependent Dies
Impact on Benefits
Back to Your Dependent Dies
Your coverage under the following benefits programs may be affected:
| Need Information or a Form?
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 Medical
and/or Dental
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What You
Should Do |
You can change
the level of your medical and/or dental coverage. |
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When You
Should Do It |
Within 31 days
of the death. |
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| How to Do It |
- Contact the Benefits Office
to request the appropriate medical and/or dental change form(s).
- Complete and return the form to the
Benefits Office.
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Group
Life Insurance and/or Personal Accident Insurance |
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| What You May
Need to Do |
- You can change the level of your coverage.
- You may want to change your beneficiary designation(s).
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When You
Should Do It |
Anytime during
the year. |
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| How to Do It |
Contact the Benefits Office to request the appropriate form(s) or click
here to download the form(s):
- Group Life Insurance: Change of Beneficiary Notice
(to change your beneficiary) and a Group Life Insurance card
(to change your coverage level). Note that if you wish to increase
your level of Life Insurance coverage, you must also submit
a Statement of Health.
- Personal Accident Insurance: Personal Accident Enrollment
card (to change your beneficiary and/or coverage level).
Complete the forms and return them to the Benefits Office. |
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| Special Notes |
UnumProvident must approve your application
before your increased level of Group Life Insurance coverage takes
effect. |
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| Flexible
Spending Accounts (FSAs) |
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| What You May Need to Do |
Due to the change in your
family status, you may want to:
- Begin participating in the Health Care FSA
- Change your contributions to the Health Care FSA
If you have any children who will become your dependents and you
anticipate day care expenses, you may want to:
- Begin participating in the Dependent Care FSA
- Change your current contributions to the Dependent Care FSA
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When You
Should Do It |
Within 31 days of the death. |
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| How to Do It |
- To enroll: Contact the Benefits Office to
request an FSA enrollment form or click
here to download the forms. Complete the form and return
it to the Benefits Office.
- To change your current contributions: Contact the Benefits Office to request a status change/termination form
or click here to download
the form. Complete the form and return it to the Benefits Office.
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| Special Notes |
These changes can only be
made in the case of a spouse or child's death. |
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Retirement
Benefits |
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| What You May Need to Do |
You may:
- Change your beneficiary(ies) under the Contributory Retirement
Plan ("CRP"), the defined contribution part of the
Retirement Income Plan for Employees ("ERIP") and
the Supplemental Retirement Program ("SRP") (collectively,
these are the "defined contribution" plans)
- Change your beneficiary(ies) under the defined benefit part
of ERIP (ERIP participants only)
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When You
Should Do It |
As soon as you
know that you would like to change your beneficiary(ies). |
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| How to Do It |
- Request the Change of Beneficiary forms from the Benefits Office.
- Complete the forms (your spouse must sign his/her consent if
you are married) and return them to the Benefits Office.
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