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.

For Active Employees

  Health Insurance & Uniform Dental Supplemental Benefits
Enrollment opportunity? No, unless the employee is losing other group coverage as a dependent No, unless the employee is losing other comparable coverage as a dependent
Change coverage from individual to family? No, unless the dependent is losing other medical coverage under the deceased spouse No, unless the dependent is losing other medical coverage under the deceased spouse
Change coverage from family to individual? Yes, if you have no other dependents Yes, if you have no other dependents
Change health plan? No n/a
Drop a dependent and keep family coverage? Yes Yes
Cancel coverage? Yes, an employee whose spouse has died must provide proof of other health coverage for review and approval prior to cancellation Yes
Deadline to submit application 

Submit an application to your employer removing your spouse or dependent

Premium refunds due to a change from family to individual coverage will only be allowed for up to six months

Submit an application to your employer removing your spouse or dependent

Documentation required? Yes Upon request
Effective date Coverage ends on the first of the month following receipt of application Coverage ends on the first of the month following receipt of application

 

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 FAQs Question: "Are there other enrollment opportunities available to me after my initial one expires?" regarding sick leave) No, unless the retiree or survivor is losing other comparable coverage as a dependent
Change coverage from individual to family? No, unless the dependent is losing other medical coverage under the deceased spouse No, unless the dependent is losing other medical coverage under the deceased spouse
Change coverage from family to individual? Yes Yes, if you have no other dependents
Change health plan? No n/a
Drop a dependent and keep family coverage? Yes Yes
Cancel coverage? Yes Yes
Deadline to submit application 

You need to submit an application to ETF (ET-2331) if you wish to terminate coverage

Premium refunds due to a change from family to individual coverage will only be allowed for up to six months

Contact the supplemental plan and ask that the spouse/dependent be removed from coverage

Documentation required? Yes Upon request
Effective date Coverage ends on the first of the month following receipt of application Coverage ends on the first of the month following receipt of application