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Terminating Coverage

You may terminate medical coverage at any time during the year. The termination takes place at the end of the month in which the form is received by MCHCP. However, if you participate in a pre-tax savings plan (Cafeteria plan), changes that affect your deduction must be approved by them. Contact your human resource/payroll representative for additional information. If you terminate coverage, you cannot enroll in an MCHCP plan until the next Open Enrollment.

Special Notes Concerning Dependent Coverage: You cannot terminate coverage on your spouse or children of the marriage during divorce or legal separation proceedings. If you drop dependent coverage due to a divorce or legal separation, note this information on your form and supply a copy of the divorce decree. MCHCP is required to notify these dependents regarding eligibility for COBRA coverage. Therefore, you must advise MCHCP of the current address of the affected dependents.

You may NOT terminate dental and/or vision coverage on yourself or your dependents during the year unless you also terminate medical coverage, terminate employment or retire.

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