Termination Effective Date
Provider Type
- Participating Physician Groups (PPG)
After the decision to terminate has been made, the subscriber is sent written notice by first-class mail. The termination is effective the first of the month following the date of the notice (but in no case with less than 10-day notice), allowing the subscriber an opportunity to obtain other health care coverage. Under no circumstances is a termination retroactive.
Employer Group Is Given Termination Date
The subscriber's employer group is notified of a member's termination, along with the effective date of the termination and a reminder to the employer group to remove the member from the next bill.
Submit copies of all notification letters, requests for termination or transfer, and supporting documentation to the Health Net Transfer/Termination (T/T) Request Unit.
The Federal Employee Health Benefits Program (FEHBP, also known as FEP) is controlled by complex laws enforced by governmental agencies. Health Net may not dispose of cases involving disruptive FEHBP/FEP members or terminate members who refuse to cooperate with prudent medical advice, unless the individual employer agrees with this action. As a result, it may take longer to work out such problems when the member belongs to a FEHBP/FEP group.