As open enrollment season quickly approaches, there’s a lot on the minds of your employees. New plans, dates, deadlines, out of pocket expenses and other unfamiliar jargon are all up for reexamination. Benefits enrollment can be an overwhelming process, but it doesn’t have to be. To help your employees through a smooth enrollment process, provide them with explanations of what certain terminology means so they feel fully in the driver’s seat. While this won’t apply to all of your employees, offering information about Qualifying Life Events, or QLEs, will be helpful should an employee have experienced a major life change and need to make modifications to their benefits plan outside of the company’s open enrollment cycle. Continue reading for a breakdown of the types of QLEs, how to provide proof of said change, and steps needed to take in order to make adjustments during a special enrollment period.
A special enrollment period is a timeframe in which an employee can modify their current enrollment selections to adjust for any change that may have occurred. Typically, individuals have 60 days to make adjustments to their coverage following the QLE date.
If any of the following life events have occurred for you recently, you are eligible to make changes to your existing benefits plan:
Open enrollment is the 45-day window where employees have the opportunity to sign up for coverage or make modifications to their existing health care coverage through their employer. Open enrollment is a crucial time to be prepared for, as you want to ensure you’re happy with your current plan or that you have an idea for adjustments you’d like to make. Open enrollment can take part at any time of year, really, but typically, most employers commence their OE during the fall months.
Typically, you will have 60 days from the date of the QLE to make amendments to your current benefits plan. So, if you turned 26 on April 25th, 2018, that is the date that commences your 60 day window to make selections in your new benefits plan. If you got married on May 1st, the same applies.
Yes. When you join a new employer, you will go through an onboarding process that will allow you to make selections based on your current needs. If you plan to be a dependent on your parents’ plan or that of a spouse, you can decline coverage at this time.
If you qualify for a speciali enrollment period based on the qualifications above, contact your HR department to understand how you can commence making changes based off of your QLE.