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
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. |