CTPF 2027 NON-MEDICARE HEALTH INSURANCE HANDBOOK
8
Voluntarily Ending Coverage
You can voluntarily end health insurance coverage at any 
time. Complete CTPF Form 350 by indicating your desired 
disenrollment date at least 30 days prior to the first day of 
the month when you want to end coverage. Your benefits 
will cease on the last day of the month. 
If your request is received less than 30 days in advance, 
your coverage may not be terminated until the following 
month.
Please contact CTPF Member Services at 1-312-641-4464 
with any questions.
Involuntarily Ending Coverage
Annuitant
An annuitant’s health insurance coverage ends:
•	the last day of the month when eligibility 
requirements are no longer met, 
•	on the date you lose Medicare coverage 
due to non-payment of premium, 
•	on the date of death, or
•	on the date of enrollment in an outside plan
Dependents*
A dependent’s health insurance coverage ends
•	simultaneously with the termination of the annuitant’s 
coverage, or 
•	the last day of the month when eligibility 
requirements are no longer met
* CTPF health insurance coverage continues for survivors 
currently enrolled as dependents, following a member’s 
death. See the Who Can Enroll In A CTPF Plan section for 
information.
Refund of Premium
Premiums will not be refunded for coverage ended 
retroactively due to late notification of ineligibility.  
CTPF COBRA Eligibility
COBRA continuation coverage is a continuation of CTPF 
health insurance coverage when coverage would otherwise 
end because of a qualifying event. A list of qualifying events 
with the applicable continuation periods can be found on 
www.ctpf.org/COBRA.
 
Ending 
Coverage 
How Do I End Insurance Coverage?

View this content as a flipbook by clicking here.