MiCSC - Required Documentation & Contact Information

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Required Documentation & Contact Information


Required Documentation & Contact Information

If you add new dependents to your insurance coverage during open enrollment, you must mail or fax the appropriate proof of eligibility documentation* to the MI HR Service Center by September 30, 2011 for the enrollment to be valid. Click the link below to view a listing of valid documents.

Required Documentation for Dependents and Dependent Eligibility Guidelines

State Police Employees Only: You must mail or fax the Evidence of Insurability form and Life Insurance Enrollment form to the MI HR Service Center no later than August 31, 2011.

Mail or fax documents to:

MI HR Service Center
Toll Free 877-766-6447 or
local 517-335-0529
Michigan Relay Center: 711

Fax Number
517-241-5892

Mailing Address
P.O. Box 30002
Lansing, Michigan 48909

Hours
7:00 a.m. to 6:00 p.m.
Monday-Friday, except holidays

* Please note that documents will not be returned.


	Related Content
•	Open Enrollment Brochures
•	Employee Eligibility
•	Dependent Eligibility