Employee - Add or Delete Dependents on Group InsuranceFind more information from the following link(s):
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. 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 the Office of Human Resources, Health Insurance Team, 101 Monroe Street, 7th Floor, Rockville, MD 20850.
Required Documentation & Dependent EligibilityHealth and Life Insurance Active Employee - Election FormEmployee Health Insurance