This Life Events Guide page has two sections - active employees and retirees and survivors. Please refer to the appropriate page section for information based on your employment status.

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.

For Active Employees 

  Health Insurance & Uniform Dental Supplemental Benefits
Enrollment opportunity? No No
Change coverage from single (individual) to family? No No
Change coverage from family to single (individual)? No No
Change health plan? Yes n/a
Drop a dependent and keep family coverage? No No
Cancel coverage? No No
Deadline to submit application  File an application with your employer within 30 days before or after the move n/a
Documentation required? Sometimes If changing your mailing address, phone number or email address, notify your employer
Effective date Coverage becomes effective on the first of the month following the  receipt of application n/a

 

For Retirees and Survivors

 

  Health Insurance & Uniform Dental Supplemental Benefits
Enrollment opportunity? No No
Change coverage from single (individual) to family? No No
Change coverage from family to single (individual)? Yes No
Change health plan? Yes n/a
Drop a dependent and keep family coverage? No No
Cancel coverage? Yes No
Deadline to submit application  File an application to ETF (ET-2331) within 30 days before or after the move n/a
Documentation required? Sometimes If changing your mailing address, phone number or email address, notify ETF 
Effective date Coverage becomes effective on the first of the month following the  receipt of application n/a