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Work/Life: Your Spouse/Domestic Partner Terminates
a Job
Impact on Benefits
Back to Your Spouse/Domestic Partner Starts
or Terminates a Job
If your spouse or domestic partner terminates a job, you should submit
a "HIPAA Statement of Prior Coverage" to the Benefits Office to
show that your spouse or domestic partner had prior coverage. Your coverage
under the following benefits programs may be affected:
| Need Information
or a Form? |
| |
 Medical
and/or Dental
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| What You May Need to
Do |
- If you're a participant in a medical plan and/or dental
plan, you can add your dependents who are losing coverage
to your coverage.
- If you are not currently participating in a medical plan
and/or dental plan, and you and your dependents are losing
coverage, you may enroll yourself and your dependents who
are losing coverage in a medical and/or dental plan.
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| When You Should Do It |
Within 31 days of the date your
spouse or domestic partner terminates a job. |
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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 forms to the Benefits Office.
- Bring a Certificate of Credible Coverage issued by your
spouse or partner's former employer.
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Verification of relationship is required for any dependent being added for the first time to your coverage. Documentation may include a marriage certificate or domestic partnership statement to add a new spouse or domestic partner. Documents for a new dependent child may include a birth certificate or adoption papers, or other appropriate legal documents may be provided. Return a copy of the required documents to the Benefits Office within 31 days of the qualifying life event. |
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Flexible
Spending Accounts (FSAs)
Dependent Care |
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| What You Should Do |
If you were contributing to
the Dependent Care Flexible Spending Account, you may no longer contribute
to that account after your spouse or domestic partner terminates his
or her job unless you or your spouse or domestic partner is disabled
or a full-time student at least five months of the year. |
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| How to Do It |
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 |
Your participation in the Dependent
Care FSA ends on the last day of the month in which your spouse or domestic
partner terminates his or her job. |
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Health
Care |
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| What You May Need To
Do
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You can choose to participate
in or change your annual election for a Health Care Flexible Spending
Account for the remainder of the year. |
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| When You Should Do It
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Within 31 days of the date your
spouse or domestic partner starts a job.
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| How To Do It
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- To enroll: Contact the Benefits Office to request
an FSA enrollment form or click
here to download the form. Complete the form and return it to
the Benefits Office.
- To change your current contributions: Contact the
Benefits Office to request a Change in Status
form or click here
to download the form. Complete the form and return it to
the Benefits Office.
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