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EMPLOYEE STATUS CHANGES - Update Your Benefits!

Change in Marital Status? Name? New Baby? Child no longer a dependent? Change of Address?

These changes affect your benefits and failure to notify Human Resources could result in payments by you for ineligible services. Marital or dependent status changes must be submitted to Human Resources within 30 days of the qualifying event.

Please follow the steps below to notify Human Resources of any changes:

Step 1: Complete a Notice of Change to Benefits Form.

Step 2: Locate your group below and identify additional action required to update Medical, Dental and Vision benefits.

Step 3: Click here for instructions and forms to update Life Insurance, Retirement and voluntary benefit plans.

Step 4: Return all completed forms to Human Resources.

GROUP
PLAN
PROVIDER

NAME/ADDRESS
CHANGE

MARITAL STATUS OR DEPENDENT CHANGE
MCBA
Medical, Dental, Vision
Teamsters

Contact Teamsters at
360-734-7780 or log into your account at www.nwadmin.com

Complete
Participant Data Form
if adding spouse or dependent

Deputy Sheriff's Guild

Local 17

WSNA

IBU

Medical
HMA

Call HMA Customer Service at
1-800-700-7153

Complete
HMA Enrollment Form
if adding spouse or dependent

Dental, Vision
WA Counties Insurance Fund (WCIF)
No employee action required HR will update provider website

Complete
WCIF Enrollment Form
if adding spouse or dependent

Corrections Deputies

Medical
HMA
Call HMA Customer Service at 1- 800-700-7153

Complete
HMA Enrollment Form
if adding spouse or dependent

Dental, Vision
Teamsters
Contact Teamsters at
360-734-7780 or log into your account at www.nwadmin.com

Complete
Participant Data Form
if adding spouse or dependent

Unrepresented
Medical
HMA
Call HMA Customer Service at 1-800-700-7153

Complete
HMA Enrollment Form if adding spouse or dependent

Dental
Whatcom County Direct Dental Reimbursement
Email Flex-Plan at
dental@flex-plan.com or update on your next claim form

Complete
Flex-Plan Enrollment Form
if adding spouse or dependent

Vision
Teamsters
Contact Teamsters at
360-734-7780 or log into your account at www.nwadmin.com

Complete
Participant Data Form
if adding spouse or dependent

 
Click here for information and forms to update Life Insurance, Retirement and other benefit plans.
 
Questions? Email Human Resources hr@co.whatcom.wa.us