To add a spouse or dependent to health or dental/vision coverage, the insured must have family health or dental/vision coverage.  If the insured does not have family coverage, refer to the procedure for Individual to Family Coverage Change.

If the insured already has family coverage, complete the following procedure:

  1. Employee completes the following forms completely and legibly:
    • Required only for a name change:  Employee Insurance Enrollment and Change Form (Form-1).  Be sure the insured completes the name change section in addition to the top of the form and signature.
    • Insurance Data Form (IDF)
    • Dependent Age 19 to 26 Form (if applicable)
    • Dental/Vision Enrollment and Change Form (Form-1) (if applicable)
  2. Attach copies of marriage and birth certificates.  For newborn coverage, an announcement letter from the hospital can be used if a birth certificate is not yet available.  The birth certificate or hospital notice must show the parent-child relationship to the insured or his/her spouse.  Due to differences between federal and state law, if an insured is adding a same sex spouse, the insured is subject to imputed income.  Please advise the employee accordingly.
  3. Photocopy all forms and documentation and file in the employee’s personnel file.

Send original forms and the documentation to the GIC.

This information provided by the Group Insurance Commission.