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Events - New Baby/Change in Custody
New Baby or Adoption of Child
Change in Custody
Enroll your new baby or adopted child for Medical, Dental and Vision benefits
If you have Health & Welfare coverage, you must update your
*Enrollment Form
and
Annual Medical/Dental
Update form. Include a copy of the state-issued birth
certificate and/or adoption papers signed by a judge, if applicable, when submitting the enrollment form.
You may fax in the forms, state-issued birth certificate, and adoption
papers. However, the original forms must be submitted to the
Administrative Office.
If your spouse also has coverage, you may wish to
review how to
coordinate benefits with his or
her health insurance.
*Important
note:
In order for enrollment forms to be accepted, all sections must be
completed, a beneficiary listed, a percentage listed for each
beneficiary, and the form signed and dated. The Beneficiary
designation section is considered a legal binding document therefore
it cannot contain any white out, mark, or cross outs in this
section. If mistake is made in this section a new form must be
completed.
Complete and
submit the Annual Medical/Dental Update Form
Claims for your dependent child will not be processed
until the
Annual Medical/Dental
Update form is received at the Administrative Office.
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Change your beneficiary
designations
You may complete the following forms if you wish to change your
beneficiary designations. Please note that the Administrative
Office
must receive the original form to change a beneficiary.
*Important
note:
In order for enrollment forms to be accepted, all sections must be
completed, a beneficiary listed, a percentage listed for each
beneficiary, and the form signed and dated. The Beneficiary
designation section is considered a legal binding document therefore
it cannot contain any white out, mark, or cross outs in this
section. If mistake is made in this section a new form must be
completed.
Prepare or update your will
If you have Legal coverage, now is a great time
to update or have a will prepared using your
Legal
benefits.
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Complete the Step Child/Foster Child Questionnaire (if not your
natural children)
If you are adding step-children
to your plan, you
will need to complete the
Step Child/Foster Child Questionnaire
along with the appropriate paperwork above. The Administrative Office will notify you if your step or foster child has been
approved as a covered dependent.
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Complete and
submit the Annual Medical/Dental Update Form
Claims for your dependent child will not be processed
until the
Annual Medical/Dental
Update form is received at the Administrative Office.
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