Missed Open Enrollment?You Still Have Health Care Coverage OptionsChange is the only constant in life. And navigating those changes, both the good ones and the bad ones, can be complicated. It’s no small matter that many of these changes affect your health care coverage, adding one more stress to your already full plate. We’re committed to helping you make your health care insurance decisions as easy as possible. Show
But what can we do for you if you are outside that annual open enrollment period when you can choose your own health insurance plan? The good news is many of life’s changes are considered qualifying events, meaning they may trigger a special enrollment period when you can make changes to your health care coverage outside of Open Enrollment. So if you’ve just turned 26 and come off your parent’s insurance, returned from military service, gotten married, lost your job, retired or found yourself facing one of life’s many changes, you may qualify for Special Enrollment. How Long Do I Have To Choose?If you qualify for Special Enrollment, you generally have 60 days to make changes to your health insurance. If you miss this window, you may have to wait up to 10 months for the next Open Enrollment. That’s where we come in! Let us help you find the right plan for you right now. Missed Your Special Enrollment Window?We Can Help With That, TooShort Term health insurance, also called Temporary insurance or Term health insurance, may be just the thing to get you to that next Open Enrollment period. It’s designed to bridge gaps so you’re covered until you decide on a long-term health care solution. Learn more about Golden Rule Insurance Company Short Term health insurance.F5 Skip to main content
Qualifying life eventsWhat, exactly, is a qualifying life event?A qualifying life event is a big life-changing situation — sometimes planned, sometimes unexpected — that can impact you and your health insurance. Experiencing a significant life change may allow you to change your health plan outside of the annual enrollment period (also called open enrollment). Qualifying life events include (but are not necessarily limited to):1
Sometimes Special Enrollment Periods (SEPs) may be offered for additional qualifying reasons, such as natural disaster relief or pandemic relief. Types of qualifying life eventsMany of life’s big moments may open the door to making changes to your health insurance coverage outside of the regular open enrollment period. Changes can most often be made either 30 or 60 days after the qualifying life event happens. If you’ve experienced a qualifying life event, check your plan materials, contact your employer or call the phone number on your member ID card. Here's a little more about each event that might qualify. When you experience a major shift in your family life, your benefits may also need to change. Family changes that count as qualifying life events include:
If you've experienced one of these qualifying life events, call the phone number on your member ID card to learn about your options. When it comes to health insurance, turning 26 is a milestone birthday — it’s time for the baby birds to “leave the nest” of their parents’ health insurance and find their own plans. If you just turned 26, call the phone number on your member ID card to learn about your options. Another change that can affect special enrollment eligibility is moving. It could be that you’re relocating to an area where your current coverage isn’t available. Or, you might be moving to an area where your current coverage is available, but there are new plans to consider. If you've recently moved, call the phone number on your member ID card to learn about your options. A change in employment status — whether voluntary or involuntary (laid off, dismissed, resigned, quit or retired) — is another qualifying life event. If you've experienced a job change, call the phone number on your member ID card to learn your options. COBRA may be one of the options you may consider. Are you turning 65?Turning 65 is another moment in time that’s a qualifying life event. It gives you a chance to look into your opportunities for a Medicare plan. Medicare, a federal program, serves as the primary source of health insurance for those 65 and older (or those under 65 who may qualify for benefits because of a disability or other circumstance). To find out who is eligible for Medicare, what you should do if you choose to work past 65, who can enroll in Original Medicare (Parts A and B) or how to apply for more coverage, you can look into Medicare basics. There are four categories, or parts, of Medicare:
Parts A and B are sometimes referred to as Original Medicare, and they don’t cover everything. Services like dental work, vision exams/eye care and out-of-pocket costs, including deductibles, are not covered.
If you experience a qualifying life event, sign up right awayIn most situations, you’ll need to make changes to your health plan within a specific
time frame of the qualifying life event.
If you’ve experienced a qualifying life event, check your plan materials, contact your employer or call the phone number on your member ID card. Need a plan now, but haven’t experienced a qualifying life event?If you’re between enrollment periods and haven’t experienced a qualifying life event, there are options, like short term insurance, to bridge the gap. That way, you can help assure that you’re not without insurance at any point.
Learn what types of health insurance are availableGet an overview of the different types of insurance to see which one may work best for you — both for right now and to be prepared for open enrollment time. More insurance plans
Can a health insurance policy be Cancelled at any time?If you have have an individual health insurance policy, you can cancel your health plan at any time. However, you typically won't be able to select a new health plan outside of open enrollment, which is usually around November 1 to December 15.
What are qualifying reasons to cancel health insurance?Here's a list of valid reasons for canceling your insurance coverage outside of Open Enrollment.. You just got married.. You've just finalized a divorce.. You just had a baby, or adopted a child.. Your spouse got a new job.. Your spouse's coverage has changed.. It's currently your spouse's Open Enrollment period.. Do you need a qualifying event to cancel life insurance?Why do I have to have a qualifying life event to cancel my coverage? Section 125 requires a valid qualifying life event in order to make any changes to insurance mid-year. Failure to abide by this means that the employer is subject to IRS enforcement actions.
Can I cancel my insurance if my spouse gets a new job?Can I drop my health insurance if my spouse gets a new job? Yes. Most health insurance companies consider a job change a qualifying event and will allow you to make changes to your health insurance policy.
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