You will not be able to make any changes to an elected insurance plan after the start date of the plan unless you have a QLE.
A Qualifying Life Event (QLE), is a change in your living situation that makes you eligible for a Special Enrollment Period. You will not be able to make any changes to an elected insurance plan after the start date of the plan or outside of your QLE open enrollment window. The IRS pre-tax rules determine when changes can be made to health insurance plans. With the exception of a QLE, the pre-tax rules prohibit changes to an elected insurance plan after the start date (i.e., elections must be irrevocable for the plan year, or the remainder of the current plan year, in the case of a newly eligible employee).
A qualifying life event can be one of the following:
- birth of a child
- adoption of a child
- legal separation/divorce
- death in the family
- employee turns 26 (and loses prior coverage under parent's/guardian's plan)
- move to a new location (not always applicable depending on the new location, as most of our plans are national)
- involuntary loss of previous coverage
If you need assistance with your benefits plan please contact your insurance agent. All OMS benefits are provided by Acentria Insurance.