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HEALTH CARE WAIVER AND CANCELLATION

You can waive coverage at any time by submitting a Waiver and Cancellation of Health Care Coverage form. If you choose to waive coverage, dependent coverage for your spouse and children automatically ends.

After you waive coverage, you can only re-enroll under the following qualifying events:

  • Within 90 days of becoming eligible for Medicare
  • Within 31 days of an involuntary termination of other health care coverage or termination of Medicaid
    • Failing to pay the premium or ending coverage because of plan changes does not count as involuntary termination.

CANCELLATION OF SPOUSE/CHILD COVERAGE

To cancel health care coverage for a spouse or a child, you must send a written request to SERS. Both you and your spouse must sign the request if the cancellation is for your spouse.

After you waive coverage for a spouse or a child, you can only re-enroll them under the following qualifying events:

  • Within 90 days of your spouse becoming eligible for Medicare
  • Within 31 days of an involuntary termination of other health care coverage or termination of Medicaid

Resources and Links

Waiver and Cancellation of Health Care Coverage form

Member Health Care Guide