When life changes, your health plan may need to change as well. With qualifying life events, you can make the changes you need without waiting for open enrollment.
What are the qualifying events?
If you need to make updates to your plan, such as when you get married or when 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. Enrollment and effective dates vary by event, and you may be asked to provide proof of the qualifying event.
If you are on a grandfathered or grandmothered plan and wish to update your coverage, you can do so by contacting your authorized Wellmark agent or Customer Service at the phone number listed on the back of your ID card. Members with an Affordable Care Act (ACA) plan will need to visit Healthcare.gov External Site to see if they qualify for a special enrollment period.
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|
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|