Lost or Changing Jobs

• Read Your Associate Benefit Program Booklet.
• Consider your new family circumstances and make careful choices of the benefit plans you might wish to change.
• Fill out a Benefits Enrollment or Change form.
• Request a letter from your spouse’s former employer which states the last day worked and the date their benefits will end.
• Submit the Benefits Enrollment or Change form and the letter to your Human Resources department before the end of 30 days from the date your spouse was terminated or resigned.

Forms: Benefits Enrollment Form or Benefits Change Form

Having or Adopting a Child

• Read Your Associate Benefit Program Booklet.
• Consider your new family circumstances and make careful choices of the benefit plans you might wish to change.
• Fill out an Benefits Enrollment or Change, Request for Leave of Absence, FMLA Payroll Deduction Authorization, FMLA Payroll Deduction Authorization forms.
• If your child is adopted, attach a copy of the official adoption papers to your form.
• Return it to your Human Resources department before the end of 30 days from the birth or adoption date of your child.

Forms: Request for Leave of Absence, Benefits Enrollment Form or Benefits Change Form, Adoption Reimbusement Request

Child Leaving Home

• Read Your Associate Benefit Program Booklet.
• Fill out a Benefits Enrollment or Change form to remove your child from benefits for which they are no longer eligible.
• Return the form to your Human Resources department before the end of 30 days from childs departure.
• Your child will be offered COBRA.

Forms: Benefits Enrollment Form or Benefits Change Form

Non-Student Child Past Age Limit

• Read Your Associate Benefit Program Booklet.
• Your children can be covered under the medical and dental plans up to the end of the year they turn 19 unless they are a full-time student. Full-time students are covered up to the end of the month in which they turn 25.
• Complete a Benefits Enrollment or Change form during the next annual enrollment period and return it to your Human Resources department.
• Your child will be offered COBRA.

Forms: Benefits Enrollment Form or Benefits Change Form

Major Health Problem

• Read Your Associate Benefit Program Booklet.
• If you are needed at home to provide care for a family member, fill out a Request for Leave of Absence and submit it to your Alliance Employee Health.
• Keep your supervisor informed of your intentions.
  

Forms: Request for Leave of Absence

Aging Parent in Household

• Read Your Associate Benefit Program Booklet.
• If you are needed at home to provide care for a family member, fill out a Request for Leave of Absence.
• Keep your supervisor informed of your intentions.
• Use services such as Employee Assistance and Family Information and Services to provide support for you and other family members.
  

Forms: Request for Leave of Absence

Family Member Deseased

• Read Your Associate Benefit Program Booklet.
• Immediately notify your supervisor that you need funeral leave.
• If the family member was covered as a dependent, complete a Benefits Enrollment or Change to remove the deceased person from coverage.
• Call 585-6060 to file a claim if the dependent was covered under the Dependent Life Plan or Accidental Death and Dismemberment dependent coverage.
• Consider your new family circumstances and review your beneficiary designations for all life insurance coverage you may have.
• Use services such as Employee Assistance to provide support for you and other family members.

Forms: Benefits Enrollment Form or Benefits Change Form, Change in Beneficiary Designation

Work / Life Events