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?	Yes, if losing other medical coverage as a dependent	Yes, if losing comparable coverage as a dependent
Change coverage from individual to family?	Yes, if losing other medical coverage as a dependent	Yes, if losing other comparable coverage as a dependent
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	Yes, must provide proof you gained coverage comparable to the supplemental plan in which the employee is canceling
Deadline to submit application	File an application with your employer within 30 days of the event for all events except cancellation Cancelling coverage: File an application with your employer within 60 days of the event	File an application with your employer within 30 days of the event
Documentation required?	Yes	Upon request
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 If approved for cancellation, coverage will end the last day of the month after your other coverage begins

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?	Yes, if losing comparable coverage
Change coverage from individual to family?	Yes, if losing other medical coverage as a dependent	Yes
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	Yes, must provide proof you gained coverage comparable to the supplemental plan in which the member is canceling
Deadline to submit application	File an application with ETF (ET-2331) within 30 days of the event for all events except cancellation Cancelling coverage: File an application with ETF within 60 days of the event	File an application with the vendor within 30 days of the event
Documentation required?	Yes	Upon request
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 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 Canceling coverage: effective the last day of the month following receipt of app