It is important to notify us right away when coverage is ending for a member of your group. Be sure to notify us when:
Submitting termination information prior to the effective date reduces the chance of paying claims for services rendered after a member’s termination date. You can inform us any time before or during the month the termination is to be effective, and you may request a specific effective date for the termination. All requests should be received within 60 days of the termination date.
When an employee’s coverage is terminated, the coverage for his or her spouse and
child(ren), if any, also ends.
All retroactive cancellations must be received within 60 days of the requested effective date.
The employee should submit a Member Change Form
, completing the Member Information section, Change in Type of Membership section (where the employee writes the name of the dependent whose coverage is to be terminated), and Termination of Membership section. The employee needs to sign the form and return it to you for submission to us.