My Recently Visited Services
This service is not for use with Faculty Extended or Research Fellow Extended Salary Transfers.
This form should only be used by retirees, survivors, and former employees.
If you move and you need to change your coverage, complete this form within 30 days of your move. Your new coverage will become effective the first day of the month after your move. Your next opportunity to make a change will be the next Open Enrollment period, with the change effective January 1.