Removing a Dependant or Spouse From SHA

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Quick answer
Your SHA account allows a dependant or spouse to be removed when the household situation has genuinely changed — for example after divorce, death or where a beneficiary was listed in error. A Remove Dependant or Remove Spouse step exists, and it typically needs supporting documentation and verification such as an OTP.
Key things to know
- Removal is a recognised change, not a special favour — it applies when circumstances genuinely changed.
- Supporting documentation is generally expected, matching the reason for removal.
- A 'Remove Dependant' or 'Remove Spouse' option exists and typically includes OTP verification.
- Removal protects your record from listing people who should no longer be on it.
What this means
Your SHA account lists the people covered under your household — your spouse(s), children and any other recognised dependants. Removing someone from that list is treated as a formal change to your record, not something done casually, because it affects who can access cover and claims under your account.
Why someone might be removed from your SHA record
Households change over time — a marriage ends, a dependant passes away, or someone was added to the account incorrectly in the first place. SHA's framework recognises these situations and provides for amendments, including removal of a previously listed spouse or dependant.
The reason for removal usually determines what is expected to support it. A divorce is different from a death, which is different from correcting an error made at registration.
What tends to be asked for
Where a marriage has ended, a decree absolute is the document generally associated with removing a spouse. Where a beneficiary has died, a death certificate (or a decree presuming death, in some circumstances) supports deregistration. Each situation has its own supporting document, and bringing the wrong one can stall the change.
Because removing a spouse or dependant alters who is covered under the account, verification steps such as an OTP sent to a registered phone number are part of the process, alongside the Remove Dependant or Remove Spouse feature on the digital channels.
Multiple spouses and partial changes
Where more than one spouse is linked to an account, each spouse's registration is handled separately — so removing one does not affect the others. If you only need to update details for one dependant rather than remove them entirely, that is a different kind of change and doesn't require the same removal step.
What happens after removal
Once someone is removed, they're no longer linked to that household's cover. If they need cover going forward, they would need to be registered under their own account or correctly linked elsewhere. SHA Desk sees this come up often after divorce or separation, where a former spouse needs to be registered independently.
Why you may be seeing it
- Keeping the household record accurate matters for both parties' access to cover.
- The documentation required depends on the specific reason for removal.
- Verification steps exist to prevent someone being removed without the account holder's knowledge.
- An incomplete or mismatched document is a common reason a removal request doesn't go through smoothly.
Common situations
Common scenario
After a divorce
A member whose marriage has legally ended wants their former spouse removed from the household's SHA cover going forward, and is trying to understand what document supports that change.
Common scenario
A dependant who passed away
A family needs to update the SHA record after a dependant's death, and isn't sure what needs to accompany the notification to SHA.
What information may matter
- Which category the removal falls under (divorce, death, error correction)
- Whether the supporting document matches that category
- Whether the phone number linked to the account is current, for OTP verification
- Whether the person being removed needs to be registered separately afterward
What you can check
- Confirm who exactly is listed on your household record currently.
- Identify which category your situation falls under before gathering documents.
- Check that the phone number on your account can receive an OTP.
- Note whether the person being removed will need their own registration afterward.
Common mistakes
- Assuming any document explaining the situation will be accepted, rather than the specific one associated with that type of change.
- Not checking that the registered phone number is reachable for OTP verification.
- Forgetting that a removed spouse or dependant may need separate registration to retain cover.
When assistance may be useful
If you're trying to remove a dependant or spouse and aren't sure what applies to your situation, SHA Desk can help you understand the documentation and steps involved.
WhatsApp SHA DeskCommon questions
Can I remove a dependant myself?
There is a Remove Dependant / Remove Spouse feature on the official channels, generally requiring OTP verification and, depending on the reason, supporting documentation.
Does removing a spouse end their cover immediately?
This depends on the official process and your specific situation. SHA Desk can help you understand what applies.
What if I don't have the exact document requested?
Requirements can vary; it's worth checking current official guidance, and SHA Desk can help you understand your options.
Official sources & references
Official procedures, requirements and benefits are set by the relevant authorities and can change.
By SHA Desk · Managed by Cyber Kenya
Published 7 October 2026. SHA Desk is an independent assistance service — not SHA, the Digital Health Agency or a government office. About SHA Desk