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Employee - Death of a County Employee or Employee's Dependent

Upon the death of an active employee or employee's dependent, notification should be sent to the Health Insurance Team. The Team will provide notification of any amounts payable to any designated beneficiaries. To initiate a request regarding death benefits, please create a service request by clicking the "Create Service Request" button below. Please complete all of the fields in the Contact Information section and provide the name of deceased, the date of death and the relationship to deceased in the Brief Description field.

A Health Insurance Team member will respond, within 2 business days, to discuss this request and provide an expected completion date.