HIPAA: Special Enrollment Opportunities

There are certain situations where the employee may enroll as a late enrollee without preexisting condition restrictions, such as loss of other coverage, marriage and birth or adoption of a child.

If you are declining enrollment for yourself or your dependents (including your spouse) because of other group health plan coverage, you may be able to enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage (or if the employer stops contributing toward your or your dependents’ other coverage). However, you must request enrollment within 30 days after your dependents’ other coverage ends (or after the employer stops contributing toward the other coverage).

In addition, if you have a new dependent as a result of marriage, domestic partnership, birth, adoption, or placement for adoption, you may be able to enroll yourself and your dependents. However, you must request enrollment within 30 days after the marriage or establishment of a Chapter 40 domestic partnership; or 60 days after a birth, adoption, or placement for adoption.

To obtain more information, see Frequently Asked Questions online.