Employee coverage termination

What you need to know to terminate coverage for an employee or their dependents.

 

Employees

To terminate an employee’s coverage, submit an Enrollment Application form within 31 days of any change listed below.

Please note that omitting a member from an application or simply not paying for the member will not terminate the member’s coverage.

Coverage for an employee may be terminated for any of the following reasons:

  • Employment has ended
  • Employee has a reduction in hours resulting in loss of eligibility
  • Employee voluntarily requests to terminate coverage
  • Employee takes a leave of absence (We will allow an employee to retain coverage upon your group’s leave of absence policy.)

Termination date of benefits is always the last day of the last month the employee was eligible, e.g. if the employee terminates employment June 3, then health coverage ends June 30.

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Spouses

To terminate a dependent’s coverage, submit an Enrollment Application form within 31 days of any change listed below.

Please note that omitting a member from an application or simply not paying for the member will not terminate the member’s coverage.


Coverage for a spouse of a member may be terminated for any of the following:

  • An employee voluntarily requests coverage to be terminated
  • A divorce decree has been finalized
  • The spouse no longer resides or works in our service area

Download the Form

Dependent children

To terminate a dependent’s coverage, submit an Enrollment Application form within 31 days of any change listed below.

Please note that omitting a member from an application or simply not paying for the member will not terminate the member’s coverage.

Coverage for a dependent child of a member may be terminated for any of the following:

  • An employee voluntarily requests coverage to be terminated
  • The dependent child no longer resides or works in our service area, unless there is a standing health coverage court order
  • The dependent child reaches the maximum dependent age as defined by the group agreement or ceases to meet other dependent eligibility requirements

Download the Form

Questions?

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