Your Rights Upon Disenrollment

Chapter 10 of your Evidence of Coverage includes information on the member’s and plan’s rights and responsibilities upon disenrollment. Visit the Plan Benefit Materials page to view your plan’s Evidence of Coverage.

We don't want to see you go. Let us improve your experience with our plan. Please call Member Services. We are here to help. If you are still dissatisfied, please fill out and mail the disenrollment form.

Your Rights Upon Disenrollment

Chapter 10 of your Evidence of Coverage includes information on the member’s and plan’s rights and responsibilities upon disenrollment. Visit the Plan Benefit Materials page to view your plan’s Evidence of Coverage.

We don't want to see you go. Let us improve your experience with our plan. Please call Member Services. We are here to help. If you are still dissatisfied, please fill out and mail the disenrollment form.