The retiree, power of attorney or surviving dependent who became head of contract, must submit a written request to cancel enrollment in The Tennessee Plan.
The written request to cancel the coverage should be sent to Benefits Administration by mail, fax or email. The head of contract’s name, employee (Edison) ID number or the last four digits of their Social Security number, date of birth, address, and signature must be included. The Edison ID number is the last eight digits of the member’s ID on The Tennessee Plan card. A signature is not required if the request is sent by email.
The written request may be mailed, faxed or emailed to:
Benefits Administration
312 Rosa L Parks Ave, Ste 1900
Nashville, TN 37243
Fax: 615-741-8196
Email: retirement.insurance@tn.gov