If you have recently had:
- A change in marital status
- A baby
- A change in home address
There is a chance you may have the opportunity to enroll or change coverage outside of the annual open enrollment period.
*You may be able to change coverage outside of the open enrollment period if the following apply:
- If you are a retiree, a state employee who has opted out of premium conversion under Section 125
- If you are a local employee who does not have your health insurance premium contribution deducted pre-tax under a federal Section 125 plan
- You may change from family to single coverage at any time
Once you've reviewed if you are eligible to make a change, submit an application with any required documentation (employees, with your employer; retirees, with ETF (ET-2331).
Life Events
- You got married
- You divorce
- You have a new dependent
- You gain eligibility for other group medical coverage through your spouse
- You or your dependent involuntarily lose eligibility or all employer contribution for other group medical coverage
- You have a job change where you gain a greater share of employer contribution toward your coverage
- You move from your health plan's service area (county) for at least 3 months
- You are laid off or start a leave of absence
- You retire
- You or your dependent has a Medicare Coverage Change
- Your spouse or dependent dies
- Your unmarried dependent over age 26 becomes disabled and gains eligibility
For more detail see Frequently Asked Questions (FAQs) for the State Employee and Retiree Health Plan or Local Health Programs. Employees may also contact your payroll/benefits office. Retirees and continuants may contact ETF.