Health insurance plans

Eligibility requirements

Individuals who meet any of the criteria listed below are eligible to enroll (yourself and eligible family members or dependents) in a Personal Plans health plan, without underwriting, within 60 days of the qualifying event. Coverage begins at the time of the qualifying event. These criteria include:

  • New employment: New employees are eligible to enroll within 60 days of new employment at an eligible employer. Coverage begins on the first day that the employee reports to work.
  • Employment increases to 20 or more hours per week: Current employees who transition from working fewer than 20 hours per week to working 20 or more hours per week become eligible to enroll within 60 days of their hours increasing. Coverage begins at the time hours increase to 20 or more hours per week.
  • Special enrollment event: Current employees (or eligible dependents) who experience a HIPAA special enrollment event such as marriage, birth, placement for adoption or loss of eligibility for other coverage become eligible to enroll within 60 days of the HIPAA special enrollment event. Coverage begins immediately after the qualifying event. (Note: Personal Plans does not offer enrollment to late entrants, so individuals must enroll at their first eligibility for coverage.)
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