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Employee - Add or Delete Dependents on Group Insurance
Employees must complete the appropriate election form ("Employee Health Insurance - Forms" link) to add to or delete a dependent from a Montgomery County Group Insurance Plan. See eligibility information and additional documentation required in the Required Documentation and Dependent Eligibility sheet under the Changing Your Insurance section ("Employee Health Insurance - Materials" link).

Newborns are covered as of the date of birth, the County will accept hospital discharge papers for the first sixty days. Birth Certificates are required as proof of eligibility and should be submitted upon receipt. For all dependent additions and deletions, employees must complete the Dependent Coverage section of the Health and Life Insurance Election Form ("Employee Health Insurance - Forms" link).

Submit completed forms and required documentation to Office of Human Resources, Health Insurance Team, 101 Monroe Street, 7th Floor, Rockville, MD 20850.

Find more information from the following link(s):
  • Employee Health Insurance - Forms
  • Employee Health Insurance - Materials


  • To speak with a Customer Service Representative, please call 311 during business hours.