Gain or Loss of Medicaid, Medical Assistance, MinnesotaCare, or other Public Program

Medical

• Termination of Medicaid/Medical Assistance/Minnesota Care/other public program: You may add SEGIP medical coverage for yourself, your spouse, and dependents if their coverage is terminated.
• Add medical coverage by submitting both the Qualifying Status Change form (Formerly - Application to Change Insurance Coverage) and the termination letter from the county.
• Following the request to add a dependent, you will be asked to provide proof of dependent eligibility. A detailed letter asking for appropriate documentation will be sent to your home.
• Enrollment in Medicaid/Medical Assistance/Minnesota Care/other public program: You may drop SEGIP medical coverage for anyone who has enrolled in one of these programs, including you, your spouse, or dependents.
• Drop medical coverage by submitting to SEGIP the Qualifying Status Change form (Formerly - Application to Change Insurance Coverage) and the enrollment letter from the county.
• If you are dropping medical coverage for yourself, and you receive the full employer contribution, you must also submit the Waiver of Medical Coverage form and provide acceptable proof of other coverage for yourself, your spouse, and eligible dependents.
• You may not change your medical plan administrator.

Dental

• Adding dental coverage is only allowed for loss of Medical Assistance.
• Dropping dental coverage is only allowed for enrollment in Medical Assistance.
• Add or drop dental coverage by submitting the Qualifying Status Change form (Formerly - Application to Change Insurance Coverage).
• You may not change your dental plan administrator.

Pre-tax accounts

• You can increase your Medical Dental Expense Account (MDEA) only if you or your dependents lost Medicaid or Medical Assistance.
• You can decrease your Medical Dental Expense Account (MDEA) only if you or your dependents enroll in Medicaid or Medical Assistance.
• You can make changes to your MDEA by completing and returning to SEGIP the Change in Participation form.
• MinnesotaCare/other public program: no changes are allowed to your MDEA.

Medical

• Termination of Medicare, Medical Assistance, MinnesotaCare, or other public program: You must add your SEGIP medical coverage within 30 days of the termination date, including the day of termination.
• Enrollment in Medicare, Medical Assistance, MinnesotaCare, or other public program: You must drop your SEGIP medical coverage within 60 days of the enrollment date, including the day of enrollment.

Dental

• Termination of Medical Assistance: You must add your SEGIP dental coverage within 30 days of the termination date, including the date of termination.
• Enrollment in Medical Assistance: You must drop your SEGIP dental coverage within 60 days of the coverage enrollment date, including the date of the enrollment.

Pre-tax accounts

• Changes to the MDEA must be made within 30 days of the effective/termination date, including the date of the change.

Timing is everything

• An enrollment is completed by submitting the required forms to the SEGIP office no later than the last day of the enrollment period.
• Do not delay submitting your application by the deadline. Call SEGIP at 651-355-0100 within your enrollment period when there is a delay obtaining documents. Otherwise, late applications will not be processed.
• If the enrollment is not completed within the allowed period, your next opportunity to change your coverage is during the next annual Open Enrollment or upon another qualified life event.

• Changes to medical and dental coverages are effective the date of the enrollment/termination with Medicaid/Medical Assistance/MinnesotaCare/other public program.
• Changes to your MDEA take effect on the event date or the first day of the pay period in which SEGIP receives your completed form, whichever comes later.

These changes can be made to your benefits at any time:

• You can make changes to Employee Additional Life, Spouse Life, Employee AD&D, Spouse AD&D, and Short Term Disability, by completing the Optional Application form.
• You can make changes to your Parking Expense Account (PKEA) and Bus Pass/Vanpool Account (BVEA) by completing and returning to SEGIP the Transit Change in Participation form.

Be sure to make these updates if needed:

• Name changes: submit this change to your Human Resource office.
• Address changes: you update your address in Employee Self Service.
• Tax withholdings: contact your agency’s payroll department.
• Retirement account: contact MSRS at [email protected], 651-296-2761, or 800-657-5757.
• Life and AD&D beneficiary changes: Securian Financial (Minnesota Life). 

Visit our Find a Form page to access the form you need.

If you need a form to make changes to your pretax accounts, visit the Benefit Resource (BRI) website.