As a retiree, you or a dependent have a change in your Medicare enrollment (for example, you enroll in Parts A and B). This life event does not apply to Active Employees.
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 | Not applicable |
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 of the event. You may submit it up to 3 months early when you enroll for Medicare Parts A and/or B | Not applicable |
Documentation required? | Yes | Not applicable |
Effective date |
Coverage becomes effective on the date Medicare coverage begins (or date of losing coverage, for example due to kidney transplant following ESRD) Rarely, new retirees will enroll in Medicare on the first of a month, but employment terminates later in the month. In this case, the retiree can change health plans one month after Medicare begins |
Not applicable |