What are Qualifying Life Events?
Qualifying life events allow you to enroll in individual health insurance and family health insurance outside of the annual open enrollment period. Qualifying Life Events open a special enrollment period of 60 days for you to shop for an affordable health insurance plan:
Loss of health care coverage
If you have lost your health care coverage as a result of losing your job or no longer qualifying for state health insurance, then, as long as you can prove it, you will be allowed to take advantage of a special enrollment period.
Death of a family member
If a family member passes away, then this event allows you to make changes to your current plan or even sign up for a new plan. Instead of paying for a family plan, you might decide to sign up for an individual health insurance plan, which could also save you money.
You gain a new dependent
Whether you adopt a child, give birth to a new baby, or get married, these events are classified as a qualifying life event, as you have gained a new dependent. As a result of this event, you can modify your current insurance plan to include your new family member, or you can opt to completely change plans.
Changes in the household
Whether you adopt a child, give birth to a new baby, or get married, these events are classified as a qualifying life event, as you have gained a new dependent. As a result of this event, you can modify your current insurance plan to include your new family member, or you can opt to completely change plans.
Change in citizenship status
A change in your citizenship status is considered a qualifying life event, allowing you to obtain insurance during a special enrollment period. Insurance rules vary for citizens and non-citizens, so be sure to report any citizenship changes.
Government error
If a government error is discovered, then depending on the specific error, you might qualify to enroll in health insurance, as this could be one of many qualifying events for health insurance.
Change in subsidy eligibility
Whenever your income, number of family members or another factor that pertains to your Marketplace subsidy changes, you will qualify for a special enrollment period. It is imperative that you report all changes in your situation to Marketplace employees to ensure you don’t pay more than necessary or have to repay money because of your change.
Move to a new state or area
Insurance by state varies, as each state has its own specific rules and guidelines. This is why it’s important that you notify your health insurance plan if you move to a new state or area, but you will likely qualify for special enrollment.
You’ve turned 26
Happy birthday! If you’ve recently turned 26 and you’re no longer eligible to be covered by your parents’ insurance, then this is another qualifying life event, and you will definitely qualify for a special enrollment period.
Changes in employment
A number of possible employment changes enable you to qualify for a special enrollment period. If your employment status changes from full-time to part-time, then you will qualify. You would also qualify if you were laid off, fired, or if you quit.
Some unusual circumstances may be considered. If you are unsure please contact us:
Phone: (888) 371-5879 Email: individualmarketplace@cbcins.com