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 single (individual) to family? No Yes
Change coverage from family to single (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 re-enroll upon return from leave of absence. Yes, but if an application is filed to cancel, you will lose your right to re-enroll 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 A change in coverage becomes effective on the first of the month following 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. A change in coverage becomes effective on the first of the month following 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 re-enrollment and lapse in coverage.