b'How Do I End Insurance Coverage?Voluntarily Ending Coverage Involuntarily Ending CoverageYou can voluntarily end health insurance coverage at anyAnnuitanttime. Complete CTPF Form 350 by indicating your desiredAn annuitants health insurance coverage ends:disenrollment date at least 30 days prior to the first day ofthe last day of the month when eligibilitythe month when you want to end coverage. Your benefitsrequirements are no longer met, will cease on the last day of the month.on the date you lose Medicare coverage If your request is received less than 30 days in advance,due to non-payment of premium, oryour coverage may be effective in the following month. on the date of deathPlease contact CTPF Member Services at 1-312-641-4464Dependents*with any questions. A dependents health insurance coverage endssimultaneously with the termination of the annuitantscoverage, or the last day of the month when eligibility requirements are no longer met*CTPF health insurance coverage continues for survivors currently enrolled as dependents, following a members death. See page 11 for information.EndingRefund of PremiumCoverage Premiums will not be refunded for coverage ended retroactively due to late notification of ineligibility.14 CTPF 2021 HEALTH INSURANCE HANDBOOKCTPF 2021 HEALTH INSURANCE HANDBOOK'