To enroll in a health plan, switch plans, or add or remove dependents, select and complete the appropriate enrollment form(s) below to make your choice. Submit the completed form to Benefits Administration via:
Employees may add or remove a dependent during the university's annual open enrollment period in June. Also, employees are permitted to add or remove dependents within 31 days of the date of a qualifying life event. The following are considered qualifying life events.
Qualifying Events | Effective Date (as appropriate) | Documentation Required |
|---|---|---|
You have a newborn child. | July 1, or date of birth, or first of the month following life event. | Hospital Announcement (Provide Social Security Card and Birth Certificate when received). |
You legally adopt a child. | July 1, or date of birth, or first of the month following life event. | Social Security Card, Birth Certificate and Court Document. |
Your legal marital status changes (marriage, divorce, separation or the death of a spouse). | July 1, or first of the month following marriage date, or first of the month following life event. | Social Security Card and Marriage Certificate, or Certified Domestic Partner form. |
The employment status of your spouse, certified domestic partner or eligible dependent(s) changes. | July 1, or first of the month following marriage date, or first of the month following life event. | Social Security Card and Verification Letter from insurer regarding coverage status. |
Enrollment or changes to health plans, retirement savings plans and flexible spending accounts may be made during the annual open enrollment periods below.
Open Enrollment | Month | Effective Date |
|---|---|---|
Health Insurance | June | July 1 |
Dental Insurance | June | July 1 |
Employee Retirement Savings Plans | June & December | July 1 & Jan. 1 |
Flexible Spending Account: Dependent Care | November & December | January 1 |
Flexible Spending Account: Healthcare | November & December | Jan. 1 |
Commuter Benefits Program | Ongoing | First of the month following enrollment |
For questions regarding open enrollment, contact us at 215-926-2270 or email [click-for-email].
