As an active employee, you have a decrease of 5% or more in your employer's contribution toward your health insurance. This life event does not apply to retirees or survivors.
For Active Employees
Health Insurance & Uniform Dental | Supplemental Benefits | |
---|---|---|
Enrollment opportunity? | No | No |
Change coverage from individual to family? | No | No |
Change coverage from family to individual? | Yes | Yes |
Change health plan? | Yes | n/a |
Drop a dependent and keep family coverage? | Yes | Yes |
Cancel coverage? | Yes | Yes |
Deadline to submit application | File an application with your employer within 30 days of decrease in employer contribution. | File an application with your employer within 30 days of decrease in employer contribution. |
Documentation required? | Yes | Upon request |
Effective date | Coverage becomes effective on the first of the month following the receipt of application, unless change date is the first of the month, then coverage is effective the first of the month. This coverage ends the end of the month following receipt of application. | Coverage becomes effective on the first of the month following the receipt of application, unless change date is the first of the month, then coverage is effective the first of the month. This coverage ends the end of the month following receipt of application. |