Go To Search
Click to Home
Find a Department
How Do I
Life Event Changes
Flexible Spending Arrangement - Life Event Changes
Certain events, such as dependent changes, qualify for mid-year plan changes. A mid-year plan change would include signing up for participation outside of open enrollment for proactive expenses associated with a life event change.

Please return all forms to the Human Resources Office.

 Examples of Changes  Process to Use
Add or remove dependent    Life Event Change
Name change 
Address change 
Phone change 
Termination or commencement of employment by spouse or dependent   Employment Change
Switching from / to part-time employment by employee, spouse, or dependent 
Hours reduction, strike or lockout 
Leaving employment