Understanding Qualifying Life Events: Loss of Dependent Coverage
Summary: This article explains how the loss of dependent coverage qualifies as a qualifying life event and outlines the next-step options available, including COBRA and marketplace special enrollment.
Qualifying Life Event: Loss of Dependent Coverage
The loss of dependent coverage is recognized as a qualifying life event (QLE). This means that when a dependent loses their health insurance coverage, it triggers a special enrollment period during which they can enroll in a new health plan.
Enrollment Period
- Timing: You can enroll in a new health plan within 10 days before the loss of coverage and up to 30 days after the event. This provides a total enrollment window of 45 days.
- Process: To initiate the enrollment process, individuals should log into their benefits portal and use the "Life Event Wizard." This tool allows users to indicate the event date and upload any necessary documentation or proof of the qualifying life event.
Next-Step Options
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COBRA Coverage:
- If the dependent is losing coverage, they may be eligible for COBRA continuation coverage. This allows them to maintain their previous health insurance plan for a limited time, typically up to 18 months, under certain conditions.
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Marketplace Special Enrollment:
- The loss of coverage also opens a special enrollment period for the health insurance marketplace. This allows individuals to apply for new health insurance plans outside of the regular open enrollment period.
Important Considerations
- If the dependent has access to health coverage through their employer, they should notify their employer of the qualifying life event to enroll in the new plan.
- It is essential to act within the specified enrollment periods to ensure continuous health coverage.
Conclusion
Losing dependent coverage qualifies as a significant life event that allows for new health insurance enrollment options. Individuals should be proactive in utilizing the available resources, such as COBRA and marketplace enrollment, to secure their health benefits during this transition.