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Qualifying Event - Medicare


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Guest dackerma
Posted

I have a request from an employee to drop her coverage and her spouses coverage due to him becoming entitled to Medicare. She has been entitled and covered by Medicare for over year but elected to enroll in our coverage for her and her spouse as well. It is my understanding that this is a qualifying event for him since he is just now becoming entitled to Medicare but I don't believe this is a qualifying event for her. Does she need to wait until the next annual enrollment period to drop her coverage?

Posted
I have a request from an employee to drop her coverage and her spouses coverage due to him becoming entitled to Medicare. She has been entitled and covered by Medicare for over year but elected to enroll in our coverage for her and her spouse as well. It is my understanding that this is a qualifying event for him since he is just now becoming entitled to Medicare but I don't believe this is a qualifying event for her. Does she need to wait until the next annual enrollment period to drop her coverage?

You are correct. That is a qualifying event for the spouse but not for the employee. She will have to wait until the next open enrollment period to drop your coverage.

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