Insurance Cancel Requests

Description 

Voluntary AD&D, short- and long-term disability insurances may be cancelled at any time.  Most other insurance options (health, dental, vision, and employee-paid basic term life) may only be cancelled during annual enrollment unless you have a qualifying reason to cancel in the middle of the plan year. 

Outside of the Annual Enrollment period, you can only cancel coverage for yourself and/or your covered dependents if:  

• You lose eligibility for the State Group Insurance Program (e.g., changing from full-time to part-time)  

• You experience a special qualifying event, family status change or other qualifying event as approved by Benefits Administration  

If you request to cancel disability coverage, 30 days advance written notice is required.  

You may request to cancel the Dental Health Maintenance Organization (Prepaid Provider) plan if there is no participating general dentist within a 25-mile radius of your home address. 

Eligibility Reason and Documentation Required

Deadlines to Cancel Coverage

Application to cancel coverage and any required supporting documentation must be submitted within 60 days of the loss of eligibility. 

End of Coverage Date

The coverage end date may either be the last day of the month prior to the eligibility date of other coverage or the last day of the month that the event occurred.   

When cancelled for loss of eligibility, coverage ends the last day of the month eligibility is lost. For example, coverage for dependent children generally ends on the last day of the month in which the child reaches age 26, unless otherwise stated in plan rules.  

Required Forms

Insurance Cancel Request Application

Supporting documentation confirming qualifying event 

Long Term Disability Cancel Form (Lincoln Financial Group) 

Related Policies

2023 Insurance and Eligibility Guide