Changes to Benefits Currently Enrolled In
Links are listed below

Birth/Adoption

• Update Tax Information (optional)
• Health Insurance (if marital status is single, must provide State Certified Birth Certificate)
• Life Insurance Beneficiary
• Retirement Beneficiary
• Dental
• Vision
• Flex Spending Account
  

Marriage/Divorce

• Update Tax Information (optional)
• Health Insurance
• Life Insurance Beneficiary
• Retirement Beneficiary
• Dental
• Vision
• Flex Spending Account
• Name/Address Change

Death of Spouse/Dependent

• Update Tax Information (optional)
• Health Insurance
• Life Insurance Beneficiary
• Retirement Beneficiary
• Dental
• Vision
• Flex Spending Account
• Name/Address Change

Death of Employee

A representative from the employee's department should contact the Human Resource/Payroll Office at 231-8961.

Change in Employment Status

Self or Spouse

• From Full-Time (FT) to Part-Time (PT)
• From Part-Time (PT) to Full-Time (FT)
• Spouse loses employment

All forms must be completed and returned to the Human Resource/Payroll Office, 205 Old Main.

The effective date for adding a child is the first of the month in which the child is born or placement occurs. The fffective date for a marriage/divorce is the first of the month following the event.

Links:

• W-4
• Health Application (list everyone already covered including the new person, if deleting someone, don't list that person)
• Life Insurance Beneficiary
• NDPERS Retirement Beneficiary
• TIAA-CREF Retirement Beneficiary
• Discovery Benefits
• Dental
• Vision
• * Notice of Change (name/address) Will update insurance company information only.
• * NDSU Name Change: Your Marriage Certificate/Divorce Decree and Social Security Card (with your new name if name changed) are required to update your records. Please return the form(s) to the Human Resources/Payroll office in Old Main 205.

* To change your name, the Notice of Change & NDSU Name Change forms must both be completed.