The retiree, Power of Attorney, or surviving dependent who became head of contract, must submit a written request to cancel the Medicare supplement.
The written request should be sent to Benefits Administration by mail, fax, or email. The head of contract’s Employee ID number or social security number, name, date of birth, address, and signature must be included. The signature is not required if request is sent by email.
Coverage will be terminated the first of the month following receipt of the written request unless the request to cancel is received within 30 days of the member’s receipt of their Identification card and member handbook. If the written request is received within 30 days after receipt of the policy it will be considered as received under the “Right to Return Policy” and coverage will be terminated back to the effective date of original enrollment.
The written request may be mailed, faxed or emailed to:
312 Rosa L Parks Ave, Ste 1900
Nashville, TN 37243