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Health Insurance Qualifying Event/Annual Enrollment Period

I mostly lurk on this board and I don't know if this is the right place to ask this question, but I would really appreciate your help.

DH and I will be TTC in the next 6 months so we're working on figuring out health insurance. We are each on our own separate employers' policies. However, DH's policy is much better for maternity care so I want to switch to his.

 My annual enrollment period is next month and the plan year is from Aug 1-July 31st, so I would like to drop my coverage. My question is, DH's annual enrollment period is not until the end of the year, with the plan year beginning on January 1.

 If I voluntarily drop my employer's coverage now, during this annual enrollment period, does this count as a qualifying event to start up with DH's? If not, how is it possible to switch to his as our enrollment periods will never coincide?

Re: Health Insurance Qualifying Event/Annual Enrollment Period

  • Yes, it's considered a qualifying event. I did it when I went PT at work and the cost for benefits jumped, so DH and I went on his employer's plan. I had to submit the letter saying we lost coverage and also a copy of our marriage license. It had to be done within 30 days of when the coverage was lost.
    Lilypie - (ESZo)
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  • Your DH should talk to someone in Human Resources and ask for a health insurance change form.  When I first started with my employer, a voluntary "loss of coverage" was not considered a qualifying event.  Employees had to wait until the open enrollment period to add a spouse or dependents.  Over the years, the employee contribution for insurance has increased dramatically and the rule changed, so people could add/drop coverage by stating the cost of insurance changed significantly. 

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  • imageNeener73:

    Your DH should talk to someone in Human Resources and ask for a health insurance change form.  When I first started with my employer, a voluntary "loss of coverage" was not considered a qualifying event.  Employees had to wait until the open enrollment period to add a spouse or dependents.  Over the years, the employee contribution for insurance has increased dramatically and the rule changed, so people could add/drop coverage by stating the cost of insurance changed significantly. 

    he needs to ask his employer if he can add you due to you making a change during your open enrollment. some places it is a qualifying life event, some places it isn't.  

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  • You may not have to worry that your enrollment periods don't coincide.  Join his during his annual enrollment and drop yours at the same time.  Check with your human resources department but I bet you will be able to drop coverage at any time.
  • Thanks! This stuff can get so confusing!
  •  I agree with the others- definitely ask at your work.  The situation you describe is not a qualifying life event at my work.

    By the way, kudos to you for thinking about this in advance.  I had a high risk pregnancy and a preemie- our medical bills exceeded $300K (most paid by insurance).  More than likely this will not be your situation, but in the off chance it is, you want to make sure to have the best coverage possible.

    GL!

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  • Many places will not allow you to enroll in his insurance if you are offered insurance through your employer, or will charge you a fee upfront for doing so. Make sure to verify what is possible through his employer before you consider dropping yours.  He should be able to speak to his HR in this regard.
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