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Change in Legal Marital Status Including Divorce
**IMPORTANT** Information provided is intended solely as a guide and is a partial listing of eligible events and corresponding changes. If you have experienced or anticipate experiencing a qualified Life Event change you must notify Human Resources, in writing, within 31 days of the date of the event. For more information, contact Human Resources directly.
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Benefits Election Change Form / Declaration for Change Form (Life Event Change)
(PDF)
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| Status Change | Sample Changes Permitted | Sample Changes NOT Permitted | Documentation Required? |
| Marriage |
Add spouse
Add newly eligible dependent children
Drop coverage/elect under spouse's plan
Increase flex spending
Increase life (employee) |
Drop coverage, but not elect under spouse's plan
Change health option (e.g. EPO to Indemnity)
Decrease life (employee) |
Yes, marriage certificate; if dependent's last name is different than employee's (birth certificate of dependent) |
Divorce
Legal separation
Annulment
Death of spouse |
Drop spouse coverage
Decrease life
Elect employee/family coverage if previously provided by spouse's plan | Increase flex spending
Change health option
Increase life
Drop child(ren) coverage |
Yes divorce decree, legal separation or annulment documents or death certificate |
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| Who To Contact |
Rates |
FAQ's |
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© 2005, Arizona Board of Regents
University of Arizona | University Services Building, 888 N. Euclid Avenue, Room 114, Tucson, AZ 85721-0158
520.621.3662 (phone) | 520.621.9098 (fax) | Page last updated June 12, 2007
