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What Are the Qualifying Events?

If you need to make updates to your plan, such as when you get married or your dependent turns 26, you may be able to add or remove someone on your plan.

These are considered qualifying life events and they allow you to make changes throughout the year during something called a special enrollment period. The charts below show which qualifying life events allow for a special enrollment period. Enrollment and effective dates vary by event and you may be asked to provide proof of the qualifying event.

Update your coverage or enroll by contacting your authorized Wellmark agent or by calling 800-722-1795.

Although Wellmark will no longer offer ACA-compliant plans, coverage for grandfathered and grandmothered plans remain in place.

Involuntary Loss of Coverage

Qualified Life Events Time Period To Apply
Divorce 60 days before and after event
Turning 26 years old 60 days before and after event
Policyholder enrolls in Medicare, Medicaid, Medicare Supplement, Medicare Advantage, Veteran Affairs (VA) coverage, TRICARE or group coverage 60 days before and after event
Death of a policyholder Within 60 days of event
Enrollment and effective dates vary by event and you may be asked to provide proof of the qualifying event.

Adding a Dependent

Qualified Life Event Time Period To Apply
Having a baby Within 60 days of event
Adopting a child 60 days before and after event
Getting married 60 days before and after event
Receiving a court order for coverage 60 days before and after event
Enrollment and effective dates vary by event and you may be asked to provide proof of the qualifying event.