Skip to main content

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
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.