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.
The loss of COBRA coverage is not a qualifying life event.
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)? | Yes | Yes |
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 of the event | File an application with your employer within 30 days of the event |
Documentation required? | Yes | Upon request |
Effective date | Coverage becomes effective on the date the other coverage terminates except for a change of health plan. Health plan changes are effective the first of the month following receipt of application | Coverage becomes effective on the date the other coverage terminates |
For Retirees and Survivors
Health Insurance & Uniform Dental | Supplemental Benefits | |
---|---|---|
Enrollment opportunity? | No, unless you are a State retiree or survivor with escrowed sick leave and are losing other medical coverage as a dependent (See Enrolling for Coverage FAQ #17 regarding sick leave) | Yes |
Change coverage from single (individual) to family? | Yes | Yes |
Change coverage from family to single (individual)? | Yes | Yes |
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 with ETF (ET-2331) within 30 days of the event | File an application with the vendor within 30 days of the event |
Documentation required? | Yes | Upon request |
Effective date | Coverage becomes effective on the date the other coverage terminates except for a change of health plan. Health plan changes are effective the first of the month following receipt of application | Coverage becomes effective on the date the other coverage terminates |