Active Enrollment Change Form-Marriage (Required documents & steps)

This is a document designed for active employees who have life-events and need to make changes to the enrollments. 

Life Event Type and Required Documentation

Marriage:

-Marriage License

-Social Security Card

-Letter from Spouse's Job (on company letterhead) stating that insurance is not offered.

-Complete the spousal verification form and the active enrollment change forms below.

-Spousal Verification Form-

https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=4d4e98ce-976d-4ca1-a0de-75d7e3e27170&env=na3&acct=19cbdccc-227e-46af-a46c-0559a3cca114&v=2
 

Steps to Start Life Event Process 

1. Please complete the enrollment change form listed below and submit the form along with the above documents to the Benefits Department via the [e-mail] email address.

-Enrollment Change Form-

https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=0c0bf311-c02b-4cb1-acba-3a37930c6388&env=na3&acct=19cbdccc-227e-46af-a46c-0559a3cca114&v=2m