Gain or Loss of Coverage in another Employer's Plan

Medical and Dental

• Add medical and dental coverages by submitting the Qualifying Status Change form if coverage is disenrolled with the other employer due to the employment status change.
• Following the request to add a dependent, you will be asked to provide proof of dependent eligibility. A detailed letter asking for the appropriate documentation will be sent to your home.
• Drop medical and dental coverage by submitting the Qualifying Status Change form if coverage is enrolled with the other employer due to the employment status change.
• If you are dropping medical coverage for yourself and you receive the full employer contribution, you must also submit the Waiver of Medical Coverage form and provide acceptable proof of other coverage for yourself, your spouse, and eligible dependents.
• You cannot change your medical or dental plan administrator.

Pre-tax Accounts

• You may increase your Medical Dental Expense Account (MDEA) if you or your dependents lost other employer coverage due to the employment status change.
• You may decrease your MDEA if you or your dependents gain other employer coverage due to the employment status change.
• You may change your Dependent Care Expense Account (DCEA) if your expenses have changed based on the change in work status.

Medical and Dental

• You must add medical and dental within 30 days of the employment status change, including the date of the change.
• You must drop medical and dental within 60 days of the of the employment status change, including the date of the change.

Pre-tax Accounts

• Changes to pre-tax benefits must be made within 30 days of the employment status change, including the date of the change.

Timing is everything

• An enrollment is completed by submitting the required forms to the SEGIP office no later than the last day of the enrollment period.
• Do not delay submitting your application by the deadline. Call SEGIP at 651-355-0100 within your enrollment period when there is a delay obtaining documents. Late applications will not be processed.
• If the enrollment is not completed within the allowed period, your next opportunity to change your coverage is during the next annual Open Enrollment or upon another qualified life event.

• Changes to medical and dental are effective the date of the other employer’s effective/termination date.
• Changes to your MDEA pre-tax account take effect on the event date or the first day of the pay period in which SEGIP receives your completed form, whichever comes later.

Changes You Can Make Anytime

Life and Disability Insurance

Fill out and send the Optional Life and Disability Insurance Application form to SEGIP to change: 

• Additional life and accidental death and dismemberment for you
• Life and accidental death and dismemberment for your spouse
• Short-term disability for you

Securian or MetLife will contact you if they need proof you are in good health. It's called evidence of insurability. 

Pretax Transit Expense Accounts

Fill out and send the Enrollment and Change form to SEGIP to change:

• Parking expense account
• Bus/vanpool expense account

Don’t Forget These Updates

Keep your info current:

• Name change: Tell your HR office
• Address or email change: Update it in Employee Self Service
• Tax withholdings: Contact your payroll office
• Retirement accounts: Contact MSRS at info@msrs.us or 651-296-2761 or 800-657-5757

• Beneficiaries for life and accidental death insurance: Securian Financial at segip@securian.com, 1-877-494-1714 or through their website

Go to the Find a Form page for most forms.

Pretax expense account forms are on the Benefit Resource (BRI) website.