SHA offices will be closed on Monday, January 21 to observe the Martin Luther King holiday.
Getting divorced, separated or dissolving a domestic partnership
Step 1 - Change medical/dental/vision coverage
You can remove a domestic partner from SHA benefits on the date you file a Termination of Domestic Partnership Form and SHA Benefits Election Form. Their coverage will end the last day of the month in which you file the form. If you obtain a legal separation, benefits end whether or not you divorce. If you divorce and did not first file for legal separation, you must continue to pay premiums for your spouse until the divorce is final. Their coverage will end the last day of the month in which the legal separation was recorded or the divorce was final. You will have 30 days after the date a legal separation is recorded, or the divorce is final, to notify the Human Resources Department to discontinue premium payments. If you do not notify Human Resources of the termination of domestic partnership, legal separation or divorce within the 30 days, you will have to continue paying premiums until the next open enrollment.
Note: If you or your spouse moves out when divorce papers are filed, you are not "legally separated." A legal separation is an action that requires paperwork (different from divorce papers) be filed with the court. A spouse or domestic partner who loses coverage may elect to continue health care coverage through Consolidated Omnibus Budget Reconciliation Act (COBRA). To elect COBRA, he or she must:
- Complete and submit an application within 60 days of the qualifying event
- Make the first premium payment within 45 days of electing coverage
To drop medical or dental coverage for your former spouse or domestic partner you must complete and submit:
Step 2 - Make other changes to your benefits
You may also cancel any optional coverage such as life insurance, supplemental life insurance, AD&D, Supplemental Long-Term disability or Long Term Care (LTC) at any time. Coverage will cease at the end of the month in which your divorce or your domestic partnership dissolves. Please note that if your spouse also has LTC through SHA, they would be eligible to continue LTC on their own by completing Portability form. Provide updated personal information to the Human Resources Department.
Step 3 - Update your beneficiary information
This may include: life insurance, AD&D insurance, HAIG life insurance, SHA beneficiary, Retirement, and the Deferred Compensation Plan. Remember to check the beneficiary elections for any other personal life insurance plans you may have. Send updated personal information to the Human Resources Department.
Step 4 - Change tax withholding information
You may need to change the amount of taxes withheld from your paycheck by submitting a new W-4 statement to Human Resources Department for processing.
Step 5 – Emergency Contact
You may also want to update your emergency contact information by submitting Personal Change form to Human Resources.