§300gg-3(f)(1) If the employee didn’t enroll during open enrollment because they had coverage. Special 42 U.S.C. Dependent loses coverage Enrollment (A) During open enrollment, the dependent had other Periods – coverage. Federal law Allow both dependent and employee to enroll, but not (Cont’d) any other dependents unless they also have their own special enrollment qualifying event. 42 U.S.C. Employee or any dependent other coverage (other than for nonpayment or fraud) due to: Divorce or legal separation of an employee under whose coverage they were a dependent Termination or reduction in the number of hours worked Discontinuation of employer contributions; or 42 U.S.C. Exhaustion of COBRA continuation coverage Special WAC Issuer must make a special enrollment period of not less than sixty Enrollment – days available to any person who experiences one of the following on or off the qualifying events:
Special Enrollment Periods – Federal law (Cont’d) §300gg-3(f)(1) If the employee didn’t enroll during open enrollment because they had coverage. 42 U.S.C. (A) Dependent loses coverage During open enrollment, the dependent had other coverage. Allow both dependent and employee to enroll, but not any other dependents unless they also have their own special enrollment qualifying event. 42 U.S.C. Employee or any dependent other coverage (other than for nonpayment or fraud) due to: Divorce or legal separation of an employee under whose coverage they were a dependent Termination or reduction in the number of hours worked Discontinuation of employer contributions; or 42 U.S.C. Exhaustion of COBRA continuation coverage Special Enrollment – on or off the WAC Issuer must make a special enrollment period of not less than sixty days available to any person who experiences one of the following qualifying events: