A qualifying life event is a big life-changing situation — sometimes planned, sometimes unexpected — that can impact you and your health insurance. Experiencing a significant life change may allow you to change your health plan outside of the annual enrollment period (also called open enrollment).
There are a few main types of QLEs:
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Loss of health coverage
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losing existing health coverage, including job-based, individual, and student plans
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Losing eligibility for Medicare, Medicaid, or CHIP
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Turning 26 and losing coverage through a parent’s plan
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Changes in household
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Getting married or divorced
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Having a baby or adopting a child
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Death in the family
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Changes in residence
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Moving to a different ZIP code or county
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A student moving to or from the place they attend school
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A seasonal worker moving to or from the place they both live and work
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Moving to or from a shelter or other transitional housing
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Other qualifying events
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Changes in your income that affect the coverage you qualify for
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Gaining membership in a federally recognized tribe or status as an Alaska Native Claims Settlement Act (ANCSA) Corporation shareholder
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Becoming a U.S. citizen
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Leaving incarceration (jail or prison)
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AmeriCorps members starting or ending their service
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The situations listed above are just examples and aren’t an exhaustive list. Please feel free to check out this publication from the IRS:
Reference: IRS Qualifying Life Events
If you have any questions about this, please reach out to our Member Experience Team at support@joinforma.com or send us a live chat message through your Forma mobile app!
For questions regarding pre-tax accounts (HSA, FSA, DCFSA, etc.) you can also reach us by phone at 844-902-2902 Monday through Friday, 8 AM EST - 8 PM EST. We're here to help!