You Move From Your Health Plan’s Service Area (County) for at Least Three Months

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.

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.

Note: This Life Events Guide page does not apply to supplemental plans, since they provide nationwide coverage.

For Active Employees

	Health Insurance & Uniform Dental	Supplemental Benefits
Enrollment opportunity?	No	No
Change coverage from individual to family?	No	No
Change coverage from family to 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	If changing your mailing address, phone number, or email address, notify your employer
Effective date	Change health plan: Effective on the first of the month on or after receipt of the application	n/a

For Retirees and Survivors

	Health Insurance & Uniform Dental	Supplemental Benefits
Enrollment opportunity?	No	No
Change coverage from individual to family?	No	No
Change coverage from family to 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 with the ETF (ET-2331) within 30 days before or after the move	n/a
Documentation required?	Sometimes	If changing your mailing address, phone number, or email address, notify the vendor and ETF
Effective date	Change health plan or to individual coverage: Effective on the first of the month on or after receipt of the application Canceling coverage: Effective the last day of the month on or after receipt of the application	n/a