You may suspend your UC-sponsored retiree medical and/or dental coverage if you are covered by a non-UC group or individual medical and/or dental plan if you meet the provisions below. If you suspend UC medical and/or dental coverage, you may reenroll during any future Open Enrollment or within 31-days of an involuntary loss of coverage.
In order to suspend, you must meet all of the following criteria:
- Be eligible for and enrolled in a UC medical and/or dental Plan
- Be eligible for and enrolled in TRICARE for Life or another non-UC individual or group medical and/or dental plan.
- Submit form UBEN 100 to suspend UC-sponsored medical coverage.
If you do not meet these requirements, you cannot suspend your UC-sponsored coverage. If you cancel your UC-sponsored coverage and have not met the requirements, you may not re-enroll in UC-sponsored coverage, except as permitted under the Involuntary Loss of Coverage provision.
When your UC-sponsored coverage is suspended, the UC Medicare Part B reimbursement, if any, and any UC/employer medical and/or dental plan contributions will stop.
For more information, contact the UC Customer Service Center.
If you terminate your UC-sponsored retiree medical and/or dental coverage, you cannot re-enroll. Likewise, if you retire without medical and/or dental insurance, you cannot later enroll in it.

