What is a Qualifying Event?
• Ans: A qualifying event is any one of the following events which would result in the loss of health insurance coverage: (1) the death of the covered employee, (2) the termination (other than for reasons of gross misconduct) of a covered employee’s employment, (3) a reduction in a covered employee’s hours of employment, (4) the divorce or legal separation of a covered employee from the employee’s spouse, (5) a covered employee becoming entitled to Medicare benefits, (6) a dependent child ceasing to be a dependent child of the covered employee under the terms of the group health plan, and (7) with respect to certain retirees and their dependents, bankruptcy proceedings of an employer under Title 11 of the U.S. Code, commencing on or after July 1, 1986.
Examples of qualifying events are: • Voluntary or involuntary termination of the covered employee’s employment for any reason other than gross misconduct • Reduction in the hours worked by the covered employee • Divorce or legal separation of the covered employee • Death of the covered employee • Loss of dependent child status under the plan rules.
A qualifying events defined as: marriage, divorce, birth or adoption of a child, death or a spouse or child, dependent child reaching the age limit or getting married, change in employment status of you or your spouse from full-time to part-time and vice versa, termination of employment by you or your spouse, and open enrollment of a spouse.
Related Questions
- If Anthem performs COBRA administration for the plan, how does the employer notify Anthem that a Qualifying Event has occurred and how much time does the employer have to notify Anthem?
- How long after a qualifying event does an employee have to elect COBRA coverage?
- Is college graduation a qualifying event for health insurance?
