Significant Cost Change in another Employer plan

• Add medical and dental coverages by submitting the A Qualifying Status Change form.
• Following the request to add a dependent, you will be asked to provide proof of dependent eligibility. A detailed letter asking for appropriate documentation will be sent to your home.
• Drop your medical and dental coverage offered through SEGIP by submitting the A Qualifying Status Change form, if you enroll in coverage with the other employer due to significant cost 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 proof of other coverage for yourself and your dependents.
• You cannot change your medical or dental plan administrator.

These changes can be made to your benefits at any time:

• You can make changes to Employee Additional Life, Spouse Life, Employee AD&D, Spouse AD&D, and Short Term Disability, by completing the Optional Application form.
• You can make changes to your Parking Expense Account (PKEA) and Bus Pass/Vanpool Account (BVEA) by completing and returning to SEGIP the Transit Change in Participation form.

Be sure to make these updates if needed:

• Name changes: submit this change to your Human Resource office.
• Address changes: update your address in Employee Self Service.
• Tax withholdings: contact your agency’s payroll department.
• Retirement account: contact MSRS at info@msrs.us, 651-296-2761, or 800-657-5757.
• Life and AD&D beneficiary changes: Securian Financial (Minnesota Life). 

• If you are adding medical and dental, you must submit your application within 30 days of the cost change, including the date of the change.
• If you are dropping medical and dental, you must submit your application within 60 days of the of the cost 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. Contact SEGIP within your enrollment period when there is a delay obtaining documents. Otherwise, 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.

Visit the Find a Form page to access the form you need.

If you need a form to change your pre-tax accounts, visit the Benefit Resource (BRI) website.