What are group health plans obligations with respect to special enrollment opportunities?
A group health plan is required to allow special enrollment for certain individuals to enroll in the plan without having to wait until the plan’s next regular enrollment season. Group health plans and health insurance issuers are required to provide special enrollment periods during which individuals who previously declined coverage for themselves and their dependents may be allowed to enroll (without having to wait until the plan’s next open enrollment period). A special enrollment opportunity occurs if an individual with other health insurance loses that coverage or if a person becomes a new dependent through marriage, birth, adoption or placement for adoption. However, an individual must notify the plan of their request for special enrollment within 30 days after losing their other coverage or within 30 days of having (or becoming) a new dependent. If an individual enrolls as a special enrollee, they may not be treated as a late enrollee for purposes of any preexisting condition exc
Related Questions
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- What are group health plans obligations with respect to special enrollment opportunities?
