Changes
As a Member of a Group Insurance Plan, the Plan Administrator requires certain information from you in order to provide your health coverage and ensure that any claims that you may submit are processed correctly.
As an existing Member of a Plan, you must notify the Plan Administrator immediately if your personal information, dependent information or beneficiary has changed in order to ensure that coverage is continued and claims are assessed properly. If your personal information, dependent information or beneficiary has changed, please complete the Group Insurance Plan Change Card in full to notify the Plan Administrator. You should complete the MSP Group Change Form if you are covered for MSP under your Plan and you want to add or delete a dependent.
