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What is a qualifying event for health insurance?



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A qualifying event is a life change that makes you eligible to enroll in a new health plan outside of an annual open enrollment period. Some of these qualifying events include moving, adopting children, or having a birth.

One of the most significant things a parent can do is to have a child. Consider the best type of coverage for your family. You can lower your costs if you add a newborn into your high-deductible plan.

Special enrollment periods may be triggered by major life changes, giving you more flexibility to choose a plan. These special periods of enrollment can take place at any time throughout the year. They allow you to pick a plan as long as 60 days are left before a qualifying event such a birth or marriage.


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Loss of coverage is a qualifying event

The most common qualifying situation that leads to a special enrollment is when you lose minimum essential health insurance. You must show proof that you lost your coverage if, for example, you got divorced.


There are also other events that qualify, like turning 26 and losing coverage from your parents' plan. The reason is that turning 26 is the age at which you will no longer be eligible for coverage of the same level as when you were a younger adult.

A new job qualifies as a qualifying event

When you begin a new career, you will usually be given a special period of enrollment that allows you sign up for coverage through your employer. However, if you pick up your own coverage, you will have to wait until the next open enrollment period for your current employer-based coverage to take effect.

A change in residence is a qualifying event

Gwen and her children may be able enroll in a different plan after moving from Miami. The new plan will cover her health as well as that of her family. This could help her save money by not having to pay premiums if Gwen had stayed where she was.


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Divorce is an Event Qualifying

Max, a Brooklyn resident of 25 years, who gets divorced, can enroll into a new health plan to ensure that his family and he continue to receive the care they need. It's a good time to review your options for coverage with Anthem, as many health insurance carriers offer plans that are designed to adapt to changing life circumstances.

You may have a special period of enrollment if, for example, you are a new student without dependents. If you're a member of a religious congregation, you may have additional exceptions that make you eligible for a special enrollment period.



 



What is a qualifying event for health insurance?