Qualifying Life Event (QLE)

Qualifying Life Event (QLE)

Wed, 02/12/2020 - 16:44

A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment period.

This would then allow you to enroll in health insurance outside the yearly Open Enrollment period.

There are 4 basic types of qualifying life events. The following are examples, not a full list.

♦ Loss of health coverage

Losing existing health coverage, including job-based, individual, and student plans

Losing eligibility for Medicare, Medicaid, or CHIP

Turning 26 and losing coverage through a parent’s plan

♦ Changes in household

Getting married or divorced

Having a baby or adopting a child

Death in the family

♦ Changes in residence

Moving to a different ZIP code or county

A student moving to or from the place they attend school

A seasonal worker moving to or from the place they both live and work

Moving to or from a shelter or other transitional housing

♦ Other qualifying events

Changes in your income that affect the coverage you qualify for

Gaining membership in a federally recognized tribe or status as an Alaska Native Claims Settlement Act (ANCSA) Corporation shareholder

Becoming a U.S. citizen

Leaving incarceration (jail or prison)

AmeriCorps members starting or ending their service

Related content

Special Enrollment