Benefits Change Connection
Dependent Care Provider or Cost
A change in your dependent care provider or cost will allow you to make a change to the Tax Saver Benefit (TSB) Plan Part C: Dependent Care Reimbursement Account.
To make a change to TSB Part C, you will need
to complete 
the Change of Status form and 
the personalized benefit enrollment form. Step-by-step instructions appear on the TSB Plan pages below. You must make the change within 30 days.
A letter from the provider will be required documentation.
- Increase the amount of your allocation if your provider rates increase.
- Decrease the amount of your allocation if your provider rates decrease.
- Cease your allocations altogether if your provider refuses to continue providing services through no fault of your own and you do not select a new provider.
Forms and Publications
Change of Status form 
