You may only cancel your enrollment during the Annual Enrollment period in the fall (with a Jan. 1 effective date) unless you experience a special qualifying event. The Insurance Cancel Request Application provides detailed information about events permitting voluntary mid-year termination events and is available on the forms section of the Partners for Health website at https://www.tn.gov/partnersforhealth/publications/forms.html.
Retiree Subscribers do not have a deadline for submission of the Insurance Cancel Request Application Form.
Permissible voluntary coverage termination events are as follows:
a) New eligibility for group dental insurance/benefits through Spouse or Dependent’s employer;
b) Annual enrollment into a spouse, former spouse, or Dependent’s employer’s group dental insurance plan;
c) New entitlement to Medicare or Medicaid;
d) Termination of child support order of Dependent child provided by National Medical Support Notice; or
e) Change of residence out of the national service area