Employee Termination
Remove an employee from the plan when they leave, or when their eligibility ends.
Employee termination notice
Submit the termination notice through the secure form. We will process the change and confirm the effective date.
Have this ready
- The employee's name and member ID
- The last day worked, and the coverage termination date
- The reason for termination, for COBRA purposes
Open the form
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Retroactive terminations
There are limits on how far back a termination can be applied. Contact member services before submitting a notice with a retroactive date, so we can tell you what is possible for your group and what it means for any claims already paid.
member.services@exemplarhba.com · 1-855-826-3422