For benefit earning Hennepin County employees


You may enroll, add dependents or drop coverage


During open enrollment 


Within 30 days of a family status change or dependent's loss/gain of health/dental insurance:

Health Plan premium

Dental Plan premium


Step 1

Complete the Family Status Change Form

Step 2

Obtain the documents requested on the  Family Status Change Form

Step 3

Submit the form and documentation to the Benefits Unit within 30 days of the family change or loss/gain of health/dental insurance.

Step 4

Benefits staff will update APEX. 

Event/Change Effective Date

Marriage

Date of marriage

Divorce / Legal Separation

First of month following date judgment/decree is formally entered by the court

Birth / Adoption

Date of birth / placement in home

Death

Date of death

Employment Change

First of month following event

Loss of Medical Assistance coverage

First of month following date of loss of coverage

 

Looking for Health Care Expense Account forms?

Submit Health Care Expense Claim / Flexible Spending Account