You may voluntarily cancel your enrollment at any time by submitting a property completed Standard Form (SF) 2809 to Office of Personnel and Benefits.
However, if you cancel your enrollment, neither you nor any family member covered by your enrollment will be entitled to a 31-day extension of coverage for conversion to nongroup coverage, see section titled "Conversion Rights". Moreover, family members who lose coverage because, of your cancellation will not eligible for temporary continuation of coverage, see section titled "Temporary Continuation of Coverage".
Effective Date of Cancellation
The House of Representatives is on a monthly payroll cycle, therefore:
If the Office of Personnel and Benefits receives your SF 2809
**Note: If you intend to be covered by someone else's enrollment at the time you cancel and wish to avoid a gap in your coverage, you should coordinate the effective date of your cancellation with the effective date of your new coverage. See section titled "Effective Dates" for information on effective dates.
Once your cancellation becomes effective, you may not enroll again until an event occurs that permits enrollment, such as marriage or Open Season, see section titled "Table of Permissible Changes in Enrollment".
In addition, you will not be eligible for health benefits coverage after retirement unless you reenroll before you retire and meet all the requirements for continuation of enrollment after retirement, see section titled "Circumstances Permitting Changes in Enrollment".
**Note: Some employees who cancel their enrollment may plan to reenroll in time to qualify for FEHB coverage as a retiree; however, there is always the risk that they will have to retire earlier than expected (e.g., due to disability or involuntary separation) and not be able to meet the five-year requirement for continuing FEHB coverage into retirement. Please understand that when you cancel your enrollment you are voluntarily accepting this risk. An alternative would be to change to a lower cost plan so that you meet the requirements for continuation of your FEHB enrollment after retirement.