Your Rights Upon Disenrollment

You may end your membership in our plan only during certain times of the year, known as enrollment periods. All members have the opportunity to leave the plan during the Annual Enrollment Period and during the Medicare Advantage Open Enrollment Period. In certain situations, you may also be eligible to leave the plan at other times of the year.

• Annual Enrollment Period from October 15 to December 7.
• Open Enrollment Period every year from January 1 to   March 31.
• Special Enrollment Period vary based on your situation, such as moving out of the plan’s service area or if you have Medi-Cal. Visit medicare.gov for a full list.

Refer to Chapter 10 of your Evidence of Coverage for a complete description of the rights and responsibilities upon disenrollment.