For all of us, life is a continuing process of change. A major life event or change may affect your benefits at UAHuntsville. When one of the events mentioned below occurs in your life, you will need to review and possibly make changes to your current benefit elections.
Marriage |
Divorce |
Birth |
Adoption |
Job Change |
Dependent Loss
|
Death of
|
You must notify Human Resources within 31 days of the life event to change your current benefit election(s). If you do not make changes within the required time period, you must wait until the annual open enrollment period. Generally open enrollment is held in mid-October through mid-November and changes made during this time are effective January 1 of the following year. To make changes to your current elections, please review the information below.
Medical Insurance | Flexible Spending Account | Life Insurance | Tax Withholdings | Employee Assistance Program
Insurance coverage may begin on the date the life event change occurred or the first day of the following month. In addition to completing the Change of Family Status Election Form, documentation to determine dependent eligibility is required. Please see the list of life events and the required documentation below.
Change in Family Status Insurance Election Form | Flexible Spending Account Election Form
|
Life Event |
Documentation Required |
|
Marriage |
Marriage Certificate |
|
Divorce |
Final divorce decree with the file date and the judge's signature |
|
Birth of Child |
Birth Certificate and Social Security Card may be provided as well |
|
Adoption |
Final adoption papers with the file date and the judge's signature. |
|
Death |
Death Certificate |
|
Job Change |
Employment Status Change Letter or Termination Letter |
Beneficiary Change Forms
Beneficiary changes can be made at any time. Below are links to beneficiary change forms. Please return completed forms to the Human Resources office.
University Provided Life and AD&D Insurance: Beneficiary Change Form | Online
Voluntary Life and AD&D Insurance: Life Beneficiary Change Form | AD&D Beneficiary Change Form | Online
(You may also add an eligible dependent within 31 days of a qualifying life event change online.)
State Teachers' Retirement: Beneficiary Change Form (Form must be signed before a notary.)
TIAA-CREF: Beneficiary Change Form | Online | VALIC: Online
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Changes to your tax withholdings can be made at any time. You may view your current withholding through Banner Self Service or contact Payroll Services.
Federal Form | State Tax Form