You Are Laid off or Start a Leave of Absence (Active Employees Only)

As an active employee, you have a change in your working status. This life event does not apply to retirees or survivors.

For Active Employees

In the table(s) below, supplemental benefits refer to supplemental dental insurance (Select, Select Plus, and Preventive), vision insurance, and Accident Plan. You may not be eligible for all supplemental benefits. Visit the Dental Insurance, Vision Insurance, and Accident Plan pages to learn about eligibility.

	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?	No	n/a
Drop a dependent and keep family coverage?	No	No
Cancel coverage?	Yes, but if an application is filed to cancel, you will lose your right to reenroll upon return from leave of absence	Yes, but if an application is filed to cancel, you will lose your right to reenroll upon return from leave of absence
Deadline to submit application	Coverage automatically continues unless premium payment is not made (coverage lapses) or an application is filed	Coverage automatically continues unless premium payment is not made (coverage lapses) or an application is filed
Documentation required?	No	Upon request
Effective date	Change to individual coverage: Effective the first of the month on or after the receipt of application Coverage ends the month for which premiums have not been paid or the end of the month in which an application to cancel is received	Change to individual coverage: Effective the first of the month on or after the receipt of application Coverage ends the month for which premiums have not been paid or the end of the month in which an application to cancel is received

*See your benefits/payroll office for restrictions on reenrollment and lapse in coverage.