Change My Benefits Coverage

Life takes many twists and turns. Some of these experiences are considered a Qualifying Life Event, which allows you to make changes to your employee benefits outside of the typical Open Enrollment period. The change you make must be consistent with the life event that has occurred.

Requests to enroll in coverage must be received by the State Employee Group Insurance Program (SEGIP) within 30 days of the life event. Requests to remove or reduce coverage must be received by the State Employee Group Insurance Program (SEGIP) within 60 days of the life event. Do not delay submitting the applicable forms if you are waiting for missing supporting documentation.

The following resources will help you in identifying what changes can be made, applicable timelines, supporting documentation needed, and the appropriate forms that need to be filled out.

• Summary of Qualified Life Events (includes applicable forms required for insurance changes)
• SEGIP Change My Coverage webpage
• MSUM form for Legal Name Change
• Self-Service Instructions for Updating W4 tax form