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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 and Social Security cards are required as proof of eligibility and should be submitted upon receipt.

Submit completed forms and required documentation to the Office of Human Resources, Health Insurance Team, 101 Monroe Street, 7th Floor, Rockville, MD 20850 or fax to 240.777.5131.

Find more information from the following link(s):
To speak with a Customer Service Representative, please call 311 during business hours.