During open enrollment, eligible members can:
- Add or cancel Blue Cross and Blue Shield of Alabama coverage
- Must show proof of creditable coverage to cance
- Add or drop dependents
- Change from single to family and vice versa
- Add or drop Southland vision, dental, or cancer for subscribers or dependents
During open enrollment, units can:
- Change their effective date of insurance for new hires
- Units may choose coverage starting on date of hire or the first day of the second month.
- Add or drop retiree coverage
- Units may choose to offer coverage for their eligible retirees, or stop offering coverage for eligible retirees.
- Add or drop coverage for elected officials
- Units may choose to offer coverage for their elected officials, or cease offering coverage for elected officials. Applies to cities, towns and counties.
- Add or drop dental coverage
- Units may elect or drop BCBS Dental coverage with the LGHIP.

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