Spousal Email Submission Form

Spouses need benefit information, too!

If your spouse is covered on Dot’s medical insurance – we want them to get cost saving tips, incentive details, and other helpful benefit information. Complete the form below, and we’ll send occasional messages to help them make the most of your family’s benefits.

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Employee Information

Employee Name*

First Last

Employee ID Number (if known)

Dot Location*

Spouse Information

Spouse Name*

First Last

Spouse Email*

Do you have a question about your Dot benefits we can answer now? Enter it below, and someone from the HR team will follow up with an answer.

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