To remove yourself or your dependent(s) from coverage due to a Qualified Life Event, click the button below to request cancellation of coverage for one of the following reasons:
- You experienced a Qualified Life Event*
- Your dependent(s) experienced a Qualified Life Event*
- Cancel Waiver – You previously waived coverage but changed your mind
*All requests to remove coverage due to a QLEs must be submitted within 30 days of the event date.