NOTE: All employees, including those on a leave of absence (regardless of health insurance paid/unpaid status), must submit health insurance life event (mid-year change) enrollment/change requests within 60 days of the event. Examples of such events include newborns, adoptions, placements for adoption, marriages, dissolutions, and gains or losses of similar insurance for the employee and/or dependents. Enrollment of dependents, including newborns is never automatic.

To process a change, complete and return the Enrollment & Change Forms, along with the Mid-Year Change Form, to your agency HR representative. These forms must be received within 60 days, even if supporting documentation is not yet available.