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Submit online "Cancel coverage" eForm (or a completed Enroll/Change/Cancel Form), a copy of the divorce decree and addresses of all affected dependents. Coverage ends on the last day of the month in which the divorce decree and completed request is received by MCHCP.

If premiums are collected pre-tax through MoCAFE, coverage may only be cancelled at the time of divorce. If premiums are not collected pre-tax through MoCAFE, coverage on dependents may be cancelled during divorce or legal separation proceedings if spouse agrees to termination through a notarized letter.


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