You Have a Job Change Where You Gain a Greater Share of Employer Contribution Toward Your Coverage (Active Employees Only)

For All Programs

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.

There is no employer contribution for supplemental plans but a reduction in health insurance costs increases net compensation that can be used to pay for supplemental plans.

	Health Insurance & Uniform Dental	Supplemental Benefits
Enrollment opportunity?	Yes	Yes
Change coverage from individual to family?	Yes	Yes
Change coverage from family to individual?	No	No
Change health plan?	Yes	n/a
Drop a dependent and keep family coverage?	No	No
Cancel coverage?	See the You Gain Eligibility for Other Group Medical Coverage page for more information	No
Deadline to submit changes	Within 30 days of increase in employer contribution	Within 30 days of increase in employer contribution
How to submit changes	Submit the Health Insurance Application/Change Form (ET-2301) to your employer.	Submit the Supplemental Insurance Application/Change (ET-2339) to your employer.
Documentation required?	No	No
Effective date	Coverage changes become effective on the first of the month on or after the receipt of application	Coverage changes become effective on the first of the month on or after the receipt of application