Hyatt: How to Cancel

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During the open enrollment period from June 1 to June 30 each year you can cancel your Hyatt Legal Plan by following these directions:

  1. Download and print the enrollment form.  This form is also used to cancel. 
  2. You do not need to fill out the entire form.  Check the CANCELLING box in the upper right hand corner.  Then fill in your name, last 4 of SSN or employee ID number, signature, and date.
  3. Once it is complete send it to SDPEBA.  You can email, fax or send via US or City mail. 
  4. We recommend that you make a copy of the form for your records.

Once you have submitted your form your legal plan will terminate on July 31.

Retirees may also mark no legal plan on the retiree enrollment form.  

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