New York Notice of Election To Voluntarily Exclude Spouse From Coverage is a form used by married couples in the state of New York to voluntarily exclude one spouse from coverage under an existing health insurance policy. The form is used when an individual wishes to opt out of the coverage offered by their spouse’s health insurance plan, or when a couple wishes to split the cost of coverage between them. The New York Notice of Election To Voluntarily Exclude Spouse From Coverage must be completed and filed with the insurer within 30 days of the date of the election. The two types of New York Notice of Election To Voluntarily Exclude Spouse From Coverage are: 1) Individual Election to Voluntarily Exclude Spouse From Coverage and 2) Joint Election to Voluntarily Exclude Spouse From Coverage.