Special Enrollment Period

Insurance Coverage Qualifying Life Event

Did you know that a change in your situation — like getting married, having a baby, or losing health coverage —  can make you eligible for a Special Enrollment Period, allowing you to enroll in health insurance outside the yearly Open Enrollment Period? If you believe you have a Qualifying Life Event, act fast. Most Qualifying Life Events are tied to a 31 day change period and will only let you make changes within that specific time frame.

Here are a couple basic types of qualifying life events

  • Involuntary 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/legally separated
    • Having a baby or adopting a child
    • Death of a Dependent
  • Other qualifying events
    • Gaining membership in a federally recognized tribe or status as an Alaska Native Claims Settlement Act (ANCSA) Corporation shareholder
    • Leaving incarceration
    • AmeriCorps members starting or ending their service

How to change your coverage on an existing benefit with a Qualifying Event

*Make sure to add the dependent to your profile before attempting this addition. See below.*

  1. Log-into your BeneTrac profile.
  2. Under the benefit you wish to add a dependent to, click Manage Benefit.
  3. Select Change Coverage: Qualifying Event from the drop-down.
  4. Enter the Date of Qualifying Event.
  5. Click CONTINUE.
  6. Select an option from the Reason drop-down menu.
  7. Click I AGREE.
  8. Click OK.

How do I add my dependent’s information to my BeneTrac profile?

In order to enroll any family members into benefits, they must first be present in the system.   You can add or change family members by visiting the My Family page.   To access this page from the My Benefits page, select the click here to view or change your family link at the top of the page.   From here you can add family members or make changes to personal or family information.   Once you have added your family members to the system, return to the My Benefits page and use the options in the Manage benefit section of the benefit blocks to add your family members to your benefits.

If you plan on adding any dependent on to any Banyan Insurance plan, proper documentation must be supplied to the People Relations Department. In an effort to adhere to our Plan’s compliance requirements and Health Care Reform, Banyan conducts ongoing independent audits to verify all enrolled dependents. In order for your dependents to have coverage under our Plans, you must provide proof of their eligibility and return the proper documentation no later than the start date of your plan benefits.

Dependent Eligibility Form must be filled out and sent to People Relations with the appropriate documentation within 30 days of benefit election.

Documents Required:

  • Letter showing Loss of Coverage
  • Marriage Certificate/Divorce Decree/Separation Agreement
  • Child’s Birth Certificate/Adoption and Guardian Paperwork/Proof of Financial Dependency for child, such as court order.
  • Death Certificate