Dependent Child (to age 26) and Dependent Coordination of Benefits (COB)

Enroll/Drop my Dependent

If you want to enroll or drop a dependent as a result of a qualifying event during the year, you must contact the Office of Pensions within 30 days of the qualifying event to request the coverage change.

See Qualifying Events for more information, including a list of supporting documentation.

Please be sure to review the information on the State’s Dependent COB Policy. You must complete a Dependent Child Coordination of Benefits (COB) Form ONLY if you are enrolling a new dependent(s) in your health coverage AND the dependent(s) have other health coverage. This policy does not impact the State’s dental and vision plan enrollment.