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Qualifying Life Event for Adding Family Member to Health Insurance After Job Loss

Posted on 10/28/22 at 3:17 pm
Posted by deeprig9
Unincorporated Ozora
Member since Sep 2012
73411 posts
Posted on 10/28/22 at 3:17 pm
I know the basics, get a termination letter from the person being added, then go through the HR process.

Here's the question-

Hypothetically-

Let's say that process is already underway, but at the last second, the very final last moment, the termination gets pushed off another week or two. Knowing the inevitable is still the inevitable, what's the worse thing that could happen by letting the original process go through on the original termination date?
This post was edited on 10/28/22 at 3:19 pm
Posted by Teddy Ruxpin
Member since Oct 2006
40603 posts
Posted on 10/28/22 at 4:01 pm to
If they haven't been terminated then it's not a qualifying life event. You would be risking your insurance if they were to find out.

Posted by GeauxBlonde
Member since Feb 2013
187 posts
Posted on 10/29/22 at 10:50 pm to
Just tell HR the situation. They can likely still process and add the person to your insurance and then go back in and change/update the effective date if/when it changes.

Posted by BenDover
Member since Jul 2010
5551 posts
Posted on 10/31/22 at 10:17 am to
quote:

Hypothetically-

Let's say that process is already underway, but at the last second, the very final last moment, the termination gets pushed off another week or two. Knowing the inevitable is still the inevitable, what's the worse thing that could happen by letting the original process go through on the original termination date?


You absolutely will need the termination letter as you mentioned, but it's for the carrier more so than the HR department. You should notify HR of the event, tell them the date of the QLE, and the carrier typically is who you have to provide proof of the loss of coverage to. If the letter you provide to the carrier has a different date than the event date you gave HR, it's not an issue -- HR will just need to go in and update the coverage date under "Administrative Correction".

Of course HR processes are all different to a degree but, in general, that's what I've seen.
Posted by ODP
Conroe
Member since Oct 2015
2030 posts
Posted on 10/31/22 at 3:08 pm to
Don't insurance plans go month to month? Meaning if you get terminated Nov 1, you are still covered the entire month of Nov?
Posted by jchamil
Member since Nov 2009
18900 posts
Posted on 10/31/22 at 3:32 pm to
quote:

You absolutely will need the termination letter as you mentioned, but it's for the carrier more so than the HR department.


I've never had BCBS ask for a termination letter when I add an employee's spouse to our plan only the effective date.
Posted by TeaParty
Member since May 2022
935 posts
Posted on 10/31/22 at 4:13 pm to
quote:

Don't insurance plans go month to month? Meaning if you get terminated Nov 1, you are still covered the entire month of Nov?


Mine all did
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