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My son has begun working, and I'd like to remove him as a dependent. What do I need to do?
Enter the name of the dependent you want to remove, the date he or she ceased being a dependent, and other relevant information on the Notification of Health Insurance Dependent (Change). Submit this form with the dependent's health insurance card attached. If you need a Certificate of Loss of Eligibility for Health Insurance, circle "Y" in the space under Item (22) asking if you need a Certificate of Loss of Eligibility on the Notification of Health Insurance Dependent (Change).
(Link) Click here for the Notification of Health Insurance Dependent (Change).
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