You Divorce

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. This life event does not apply to survivors.

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?	See You or Your Dependent Involuntarily Lose Eligibility or All Employer Contribution for Other Group Medical Coverage for more information.	See You or Your Dependent Involuntarily Lose Eligibility or All Employer Contribution for Other Group Medical Coverage for more information.
Change coverage from individual to family?	See You or Your Dependent Involuntarily Lose Eligibility or All Employer Contribution for Other Group Medical Coverage for more information.	See You or Your Dependent Involuntarily Lose Eligibility or All Employer Contribution for Other Group Medical Coverage for more information.
Change coverage from family to individual?	Yes	Yes
Change health plan?	Yes	n/a
Drop a dependent and keep family coverage?	Yes	Yes
Cancel coverage?	See the You Gain Eligibility for Other Group Medical Coverage page for more information	See the You Gain Eligibility for Other Group Medical Coverage page for more information
Deadline to submit changes	Within 30 days of the event for all events except cancellation Cancelling coverage: Within 60 days of the event	Within 30 days of the event
How to submit changes	Log in to My Benefits to edit your benefits: Select "Divorce" as your reason for change. Enter date of divorce. Enroll, change coverage level, or remove a dependent from coverage. Upload required documentation. Once you've made changes in My Benefits, reach out to your employer if you'd like to switch health plans.	Log in to My Benefits to edit your benefits: Select "Divorce" as your reason for change. Enter date of divorce. Enroll, change coverage level, or remove a dependent from coverage. Upload required documentation.
Documentation required?	Yes	Yes
Effective date	Coverage changes: Effective at the end of the month after the divorce is final or after the divorced spouse is provided a COBRA Continuation-Conversion Notice (ET-2311), whichever is later If approved for cancellation, coverage will end the last day of the month after your other coverage begins	Coverage changes become effective at the end of the month after the divorce is final or after the divorced spouse is provided with continuation notices from each plan, whichever is later

For Retirees

	Health Insurance & Uniform Dental	Supplemental Benefits
Enrollment opportunity?	No, unless you are a State retiree with escrowed sick leave and are losing other medical coverage as a dependent. For more information, see Enrolling for Coverage FAQs Question: Can I delay or initiate use of sick leave credits after I retire?	See You or Your Dependent Involuntarily Lose Eligibility or All Employer Contribution for Other Group Medical Coverage for more information.
Change coverage from individual to family?	See You or Your Dependent Involuntarily Lose Eligibility or All Employer Contribution for Other Group Medical Coverage for more information.	See You or Your Dependent Involuntarily Lose Eligibility or All Employer Contribution for Other Group Medical Coverage for more information.
Change coverage from family to individual?	Yes	Yes
Change health plan?	Yes	n/a
Drop a dependent and keep family coverage?	Yes	Yes
Cancel coverage?	Yes	See the You Gain Eligibility for Other Group Medical Coverage page for more information
Deadline to submit changes	Within 30 days of the event for all events except cancellation Cancelling coverage: Within 60 days of the event	Within 30 days of the event
How to submit changes	Submit the Health Insurance Application/Change for Retirees (ET-2331) with required documentation to ETF. Or, log in to My Benefits to edit your benefits: To drop a dependent or change from family to single coverage: Select "Divorce" as your reason for change and enter the date of your divorce. To cancel coverage: Select "Request to cancel or reduce coverage " and enter the last day you wish to be covered. Update your benefits and upload required documentation. Once you've made changes in My Benefits, contact ETF if you'd like to switch health plans.	Submit the Supplemental Insurance Application/Change (ET-2339) with required documentation to ETF. Or, log in to My Benefits to edit your benefits: Select "Divorce" as your reason for change. Enter the date of your divorce. Update your benefits and upload required documentation.
Documentation required?	Yes	Yes
Effective date	Coverage changes: Effective at the end of the month after the divorce is final or after the divorced spouse is provided a COBRA Continuation-Conversion Notice (ET-2311), whichever is later Cancelling coverage: Effective the last day of the month following receipt of app	Coverage changes: effective at the end of the month after the divorce is final or after the divorced spouse is provided with Continuation Notices from each plan, whichever is later