Skip navigation

Update or Remove Dependents

If you or one of your dependents experience a qualifying life event, which affects your eligibility or your dependent's eligibility to receive health benefits under your health plan, it's your responsibility to provide written notice within 31 days of the event or change.

Simply complete a membership change form and mail it to: Sierra Health and Life, P.O. Box 15645, Las Vegas, NV 89114-5645.

Group health plan members (those who receive health insurance coverage through their employer) should fill out a change form request and give it to their employer. The employer will submit it to the company's Group Services representative.

Common life/family events may include but are not limited to:

  • Marriage or commencement of domestic partnership
  • Divorce, legal separation or termination of domestic partnership
  • Addition of a child via birth or adoption
  • Death of the health plan member or his/her dependent(s)
  • Change of home address outside the plan’s service area

Common employment status changes may include but are not limited to:

  • Employee becomes newly eligible to receive coverage
  • Employee becomes ineligible to receive coverage or loses employment
  • Spouse/domestic partner obtains health benefits in another group health plan
  • Spouse/domestic partner loses employment or coverage in another group health plan

If proper notice is not provided, which would have resulted in termination of coverage, Sierra Health and Life shall have the right to terminate coverage.