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Dependent Addition/Deletion Information

Employees enrolled in the Employer’s health insurance program must add or delete dependent(s) within thirty (30) days of the date of the qualifying event (birth, adoption, marriage, divorce, death, etc). Employees who fail to notify Human Resources within the required time frame to add a dependent must make the desired change during the annual open enrollment period which is during the month of April for a June 1st effective date.  It is very important that your insurance records reflect accurate information.  Therefore, please let us know when ...

Adding a New Dependent (Marriage, Birth, Adoption, Guardianship, Medical Support Order)

To include a spouse or dependent under your medical/hospital, prescription, dental, and optical coverage, you must complete and submit to Human Resources the appropriate change form along with other required documentation.  

Insurance Enrollment Form  Insurance Enrollment Form 80/20

When adding a spouse you must include a copy of the marriage certificate and proof that spouse's other medical coverage will be cancelled effective with the Employer’s insurance enrollment date. Dual medical coverage is not allowed.

When adding children you must include a copy of the birth certificate, adoption or legal guardianship documentation.

You may also want to change your beneficiary designation for your life insurance at this time.


Deleting a Dependent (Divorce, Non-eligible Dependent, Death, etc.)

To delete a spouse or dependent from your medical/hospital, prescription, dental, and optical coverage, you must complete the appropriate change form and submit it to Human Resources. You may also need to change your beneficiary designation for your life and retirement benefits at this time.
Insurance Change Form     Insurance Change Form 80/20   

Your Dependent Child Gets Married

Dependents who marry may still remain on your coverage as long as they meet the age requirement and are otherwise eligible as outlined by the insurance carrier guidelines.


Dependent Covered Through Another Source of Medical/Hospital Insurance Plan

If your dependent has obtained coverage through another employer you must complete and submit an enrollment/change form to Human Resources to remove the ineligible dependent from your coverage.
Insurance Change Form    Insurance Change Form 80/20

Opting out of Genesee County’s Medical/Hospital/Prescription Insurance Plan

If you are opting to enroll into another medical/hospital/prescription insurance plan through another employer, you can participate in the County’s reimbursement program. Please complete the enrollment/change/deletion form to cancel the insurance with Genesee County and enroll into the reimbursement program ($2,000)/reimbursement program ($1000 annually).  The reimbursement amounts vary based on collective bargaining agreements or personnel policy. Please submit completed forms to the benefits office.

Address/Name Change

Changes in address or name must be updated on your insurance and other personnel records.  Please submit a copy of the name/address change form to the payroll department and Human Resources office.