Changes In My Family/Dependents


My spouse or dependent is deceased


There’s a new child in my family


My child is now age 26 or is no longer eligible for coverage through Mission


Whatever your life change, you’ll likely need this form to report a change in your benefits status. Once it’s completed, return it with supporting documentation to:

By Email: MissionBenefits@sba-inc.com
Questions? Contact HR Direct Connect by phone at (828) 213-5600

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