As an active employee, you have a change in employer contribution toward your health insurance. 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? Yes Yes
Change coverage from single (individual) to family? Yes Yes
Change coverage from family to single (individual)? No No
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 increase in employer contribution.  File an application with your employer within 30 days of increase in employer contribution.
Documentation required? Yes Upon request
Effective date Coverage becomes effective on the first of the month following the receipt of application. 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. This coverage ends the end of the month following receipt of application.