Death of a Covered Dependent
If your spouse or child passes away, notify Human Resources to make appropriate changes to your employee record and to your benefits.
Action Items Checklist:
|Notify Human Resources to change marital and tax withholding status (if applicable).|
|Submit the Personal Information Change Form with a revised W-4 Form. Forms can be mailed to: HR Processing, PMB #407718, 2301 Vanderbilt Place, Nashville, TN 37240-7718. (Changes to your W-4 cannot be made online in C2HR, by email or by fax. The IRS requires an original signature to make this change.) See Change to Records for more information.|
|Make changes to benefits within 30 days of your dependents's death:|
Health, Dental, Vision and Accidental Death & Dismemberment Coverage
Flexible Spending Accounts (FSAs)