This Life Events Guide page has two sections - active employees and retirees. Please refer to the appropriate page section for information based on your employment status. This life event does not apply to survivors.
For Active Employees
Health Insurance & Uniform Dental | Supplemental Benefits | |
---|---|---|
Enrollment opportunity? | Yes, if losing other medical coverage as a dependent | Yes, if losing comparable coverage |
Change coverage from single (individual) to family? | Yes, if losing other medical coverage as a dependent | Yes |
Change coverage from family to single (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 the event | File an application with your employer within 30 days of the event |
Documentation required? | Yes | Upon request |
Effective date |
Coverage becomes effective at the end of the month after the divorce is final or after the divorced spouse is provided a Continuation-Conversion Notice (ET-2311), whichever is later. |
Coverage becomes effective at the end of the month after the divorce is final or after the divorced spouse is provided with Continuation Notices from each plan, whichever is later. |
For Retirees
Health Insurance & Uniform Dental | Supplemental Benefits | |
---|---|---|
Enrollment opportunity? | No, unless you are a State retiree with escrowed sick leave and are losing other medical coverage as a dependent (See Enrolling for Coverage FAQ #17 regarding sick leave) | Yes, if losing comparable coverage |
Change coverage from single (individual) to family? | Yes, if losing other medical coverage as a dependent | Yes |
Change coverage from family to single (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 ETF (ET-2331) within 30 days of the event | File an application with the vendor within 30 days of the event |
Documentation required? | Yes | Upon request |
Effective date |
Coverage becomes effective at the end of the month after the divorce is final or after the divorced spouse is provided a Continuation-Conversion Notice (ET-2311), whichever is later. |
Coverage becomes effective at the end of the month after the divorce is final or after the divorced spouse is provided with Continuation Notices from each plan, whichever is later. |