May a spouse, who is also a state or higher education employee, enroll as an employee and as a dependent of the other spouse? Admin December 06, 2022 16:47 Updated No. Both spouses must enroll as employees. Related articles If two employees in the same plan (state, local education or local government) are married, are they required to choose the employee + spouse premium level, or can each sign up for employee only coverage? What if there are children? How can I find out who I designated as the beneficiary? What if both the head of contract and spouse work for state/higher education. Will each receive the cash incentive because we each receive a paycheck? Do I have to make changes during Annual Enrollment? Can I take my coverage with me when I leave?