2019 PEBB open enrollment has begun. You have until November 30, 2018 to make changes to your coverage.
Cancel your coverage
Find out how to waive your PEBB medical coverage, and cancel your employee optional life insurance, optional long-term disability insurance, medical flexible spending arrangement (FSA), and dependent care assistance program (DCAP).
On this page
Employees may waive PEBB medical coverage (you cannot waive dental coverage) if they are enrolled in other employer-based group medical, TRICARE, or Medicare. If you waive coverage for yourself, you cannot enroll your eligible dependents in PEBB medical.
Note: You cannot waive PEBB medical coverage and remain enrolled in PEBB retiree coverage. Let your personnel, payroll, or benefits office know that you are enrolled in PEBB retiree insurance coverage so they can coordinate the cancellation of your PEBB retiree coverage and enrollment in your employee coverage for you and any family members.
Visit waiving PEBB medical coverage for more information about how to waive PEBB medical coverage.
To cancel your optional life and/or AD&D insurance:
Complete MetLife’s cancellation of optional life insurance form - employee and send it to:
MetLife Recordkeeping Center
P.O. Box 14406
Lexington, KY 40512-4406
To cancel your optional long-term disability insurance:
Complete and the Long-Term Disability (LTD) Enrollment/Change Form and submit it to:
Your employer’s personnel, payroll, or benefits office.