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Life's big changes can bring changes to your health plan

Key takeaways

 

  • Qualifying life events matter: These are specific changes in your life that let you update your health insurance outside the usual enrollment period.

  • Act quickly: You typically have 30 to 60 days during the special enrollment period after the life event to choose a new plan or add a dependent.

  • Check the rules: Each plan has its own guidelines on how to handle changes. Reach out to your plan administrator to find out your options.

What are qualifying life events?

 

During a major life change, your health care plan shouldn’t be a concern. “Qualifying life events” may allow you to change who is covered on your plan. You may even be able to change the plan outside the open enrollment period.

Here are some examples of common qualifying life events when you may be able to change your coverage.

Aging out of your parents’ plan. When you turn 26, you may no longer be able to stay on your parents' health insurance. At this age, you’ll be eligible to join your employer's health plan. It's a big step toward managing your own health care needs.

Coping with loss. Losing a loved one is devastating. And if you lose your spouse, you may also lose your health coverage through their employee health plan. However, the loss of a spouse is a qualifying life event. It allows you to enroll in your own employer’s health plan or seek individual coverage.

Welcoming new family members. Bringing a new child into your home, whether by birth or adoption, is a significant life change. When your family grows in this way, you can adjust your health plan by adding a new member to your coverage. It’s all about making sure everyone gets the care they need. 
 

Moving to a new area. Moving can be stressful. Especially if your current health plan doesn’t cover services in your new area. If you move out of your plan’s service area, you may be able to switch to a new plan. If you’re not sure an event  — like moving — qualifies, visit Healthcare.gov or check with your current benefits administrator for more info.

Losing your job. Losing a job or changing jobs usually means giving up the health plan you have through work. But, you may have options for coverage outside the usual enrollment period.

Bottom line: Knowing about qualified life changes can help you make informed decisions with confidence. Learn more about changing your health coverage.

 

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