Human Resources - Benefits

Administration Division

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Family Status Changes

Making Changes to Your Benefits

You are able to make a mid-year change to your benefits coverage as a result of a Life Status change or Family Status change. In order to make a change, you must complete the following steps within 30 days of the qualifying event:

  • Notify your campus Human Resources/Benefits Office
  • Provide proof of your status change event
  • Complete and submit your enrollment or election change

Common Family Status Changes

  • Birth or adoption of a child (including stepchildren and legally placed foster children)
  • Marriage
  • Divorce
  • Death of a spouse or dependent
  • Change in employment status of a spouse
  • Loss or gain of other coverage through a spouse
  • Becoming Medicare or Medicaid eligible

The benefits enrollment changes must be consistent with the Family Status change. For example, for birth of a child, you may add the new child to your coverage but not your spouse.

Effective Date of Coverage

The Family Status change must be requested within 30 days of the date of the event. For marriage, birth or adoption of a child, you will have a choice of benefits effective dates: either the date of the event or the first of the next month.

Appropriate documentation, specific to the qualifying event, must be provided to your campus Human Resources/Benefits office before a change in benefits coverage will be granted or approved.

Documentation Required for Family Status Change

Family Status Change

Documentation Required

Birth of a child

A copy of the Birth Certificate or Confirmation of Birth from the hospital.

Child by Adoption or placement for adoption

A copy of the Birth Certificate And official Court Adoption documents

Stepchild

A copy of the Birth Certificate And Marriage Certificate

Legal Guardianship or legally placed foster children

A copy of the Birth Certificate And official Court Documents

Marriage

A copy of the official Marriage Certificate

Divorce

A copy of the official Divorce Decree verifying the parties involved with the date of the divorce signed by the Court

Death

A copy of the Death Certificate

Spouse Gains Other Coverage

Copy of new insurance card or letter from employer stating the effective date of new coverage

Spouse Loses Other Coverage

Copy of COBRA notification or letter from insurance provider stating the effective date of coverage termination

Dependent Child Loss of Coverage

Copy of COBRA notification or letter from insurance provider stating the effective date of coverage termination

Dependent Becomes Medicaid Eligibility

Acceptance Letter from Medicaid and/or copy of Insured’s Medicaid Card

Dependent Loses Medicaid Eligibility

Notification of coverage loss from Medicaid

Employee Gains Other Coverage

Copy of new insurance card

Employee Loses Other Coverage

Copy of COBRA notification or letter from insurance provider stating the effective date of coverage termination

Survivor Remarries

A copy of the official Marriage Certificate

Update Retiree / Survivor Medicare Information

Copy of Medicare Card

Update Spouse Medicare Information

Copy of Medicare Card

Steps for making a Family Status Change

ADP Institutions

ADP Institutions

Georgia Institute of Technology

Georgia Regents University

University of Georgia

Step 1

Login to the ADP portal at https://portal.adp.com

Complete the Family Status change form available on-line at http://www.ohr.gatech.edu/benefits/family

Complete the GRU Insurance Change Request Form

E-mail your change request to bnchange@usg.edu; Information to include in your request is available at http://www.hr.uga.edu/changing-benefits-due-to-life-events

Step 2

Click on the Benefits tab and then on the “My Benefits” link in the middle of the page. Once you are redirected to the Benefits Main Menu,

Follow the instructions to submit the form and documentation to the Georgia Tech Office of Human Resources.

Return the form along with the appropriate documentation to Morgan Chavous, mchavous@gru.edu

Once your request is received, a Human Resources representative will contact you and request documentation of the event.

Step 3

Provide a copy of the documentation to your institutional HR/Benefits office

A Total Rewards – Benefits representative will contact you once your form is received.

Once your documentation is approved, you will be given a link to enroll in the new coverage on-line.

Step 4

Your coverage will be approved once your documentation is submitted and approved by your institutional HR/Benefits office. If you have quest

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