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.

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? 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