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Burkburnett Discontinuation of Coverage at
Retirement or Termination
How do I continue insurance coverage after retirement or termination?
Employees retiring or terminating must contact insurance
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How to fill out continuation of coverage at
How to fill out continuation of coverage at
01
Begin by reviewing the continuation of coverage form provided by your insurance provider.
02
Fill in your personal information, such as your name, address, and contact details.
03
Indicate the type of coverage you are continuing, whether it is health insurance, life insurance, or any other type of insurance.
04
Provide details of the coverage you wish to continue, including policy numbers, effective dates, and any other relevant information.
05
Sign and date the continuation of coverage form to certify the accuracy of the information provided.
06
Submit the completed form to your insurance provider either through mail, fax, or electronically as instructed.
07
Keep a copy of the filled-out form for your records.
08
Follow up with your insurance provider to ensure that your continuation of coverage request has been processed.
Who needs continuation of coverage at?
01
Individuals who experience a change in their employment status, such as leaving a job, retiring, or transitioning between jobs, may need continuation of coverage.
02
Those who are covered under a group insurance plan but are no longer eligible (e.g., due to job loss) may also need continuation of coverage.
03
Individuals who want to maintain their existing insurance benefits without interruption may opt for continuation of coverage.
04
Dependents or family members who were covered under a policy but have become ineligible for coverage may need continuation of coverage to ensure they remain protected.
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