Update your plan to reflect changes in your life.

Essential Blue Freedom

Essential Blue Freedom members can request changes at any time throughout the year, as a result of a qualifying life event.

Members may request changes to their policy, such as:
  • Adding or deleting dependents
  • Increasing or decreasing deductible
  • Adding or deleting maternity
  • Requesting removal of surcharges or exclusions

A Change Form [pdf, 1243 KB] is required if you are:

Adding a dependent to your policy
  • All dependents will be medically underwritten and may be surcharged or denied coverage based on medical conditions.
Increasing your policy benefits by:
  • Lowering the deductible
  • Adding the maternity rider
Requesting that a surcharge or exclusion be removed.

You may print out a change form and submit it or contact your agent: