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Is this a life event?


Guest Sepia

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Posted

One of our employees has a dependent from a previous marriage that is on her insurance in WA. Her dependent is now living with the father in CA. As I am told by the insurance company, the only way the child can continue coverage is if he changes to the PPO plan, since they cannot have dual state HMO coverage. Is there any life event that would allow such a change? The employee herself is staying put in WA and has not had a change in job status.

Thanks!

  • 2 weeks later...
Posted

Yes, the new regs provide for a change in residence that affects eligibility for a benefit, such as an HMO that does not provide any benefits in another state. Does your document include that new provision??

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