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

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 Upon request
Effective date Coverage becomes effective on the first of the month following the  receipt of application n/a

 

For Retirees

 

  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 Upon request
Effective date Coverage becomes effective on the first of the month following the  receipt of application n/a