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Cancel my coverage

Find out how to waive your PEBB medical coverage and cancel your employee supplemental life and/or accidental death and dismemberment (AD&D) insurance, Flexible Spending Arrangements (FSAs), Dependent Care Assistance Program (DCAP), and how to reduce or decline your employee-paid long-term disability (LTD) insurance.

Waive PEBB medical coverage

Employees may waive PEBB medical coverage if they are enrolled in other employer-based group medical, a TRICARE plan, or Medicare. 

Cancel supplemental life and/or AD&D insurance

Submit MetLife’s cancellation of supplemental life insurance form - employee to:

  • MetLife Recordkeeping Center
    PO Box 14406
    Lexington, KY 40512-4406

Reduce or decline employee-paid LTD insurance

To reduce or decline your employee-paid LTD insurance:

When does the change take effect?

A request to reduce or decline the employee-paid LTD insurance will take effect the first day of the month following the date the employer receives the form.

Note: If you later decide to enroll in or increase coverage, you will have to provide evidence of insurability. An increase in coverage takes effect the day the evidence of insurability is approved.

Cancel an FSA or DCAP

Once you enroll in a FSA or DCAP for a plan year you cannot change your election unless you experience a special open enrollment or end employment.

For more information visit Navia Benefit Solutions.