1. 5527 POINTS
    Marlin McKelvy
    President, Consumer Directed Benefit Solutions, Memphis, Tennessee
    In the context of health insurance, qualifying events are certain life events that meet criteria established by the IRS and now, also Health and Human Services, that would allow an individual to enroll in individual health insurance outside of the normal annual open enrollment period established under the Affordable Care Act (ObamaCare). Common examples of qualifying events are;

    1) Loss of health insurance coverage through your employer
    2) Expiration of your health insurance coverage through a former employer under the Federal COBRA regulations or state continuation of coverage provisions
    3) Loss of coverage under a government sponsored plan, including Medicaid or CHIP
    4) Loss of Minimum Essential Coverage (e.g. - state high risk pool, student health plan)
    5) Birth or adoption of a child or establishing foster care or legal guardianship of a child
    6) Marriage
    7) No longer an eligible dependent (e.g. - child turning age 26)
    8) Divorce from a policyholder
    9) Termination of a pre-Affordable Care Act individual plan during 2014
    10) Moving to a new area that offers different plan options or outside of an HMO service area
    11) Employer bankruptcy resulting in loss of coverage for retirees
    12) Return from active military service
    13) Release from incarceration
    14) Unintentional error or enrollment/disenrollment in a health insurance marketplace plan is unintentional or erroneous
    15) Newly eligible/ineligible for exchange subsidies or premium tax credit or cost-sharing reductions
    16) A material violation committed by the health plan

    You should operate under the assumption that you have 60-days after such a "Qualifying Life Event" to complete your application for new health insurance coverage.
    Answered on September 15, 2014
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