Have a Qualifying Life Event?

Select all that apply

You’ll need one of the following to have taken place in the last sixty days in order to be eligible for coverage in 2024.

MOST COMMON

Change in Household

Marriage, baby, foster child, death, divorce, change in # of dependents

I Moved

Moved primary address or moved to the USA

Loss of Coverage

Losing a job, Medicaid or similar, COBRA, or no longer on parents’ insurance

Change in Eligibility

Change in status, citizenship, or release from incarceration

Enrollment Error

A technical error or delay made by the insurance agent or website

HRA or QSHRA

My employer has offered Individual Coverage or Qualified Small Employer

Go Back

None of these apply to me

Do you have a Qualifying Life Event?

Select all that apply to you in the last sixty days.

If none of these apply to you, you may still be eligible for other benefit plans.

MOST COMMON

Change in Household

Marriage, baby, foster child, death, divorce, change in # of dependents

I Moved

Moved primary address or moved to the USA

Loss of Coverage

Losing a job, Medicaid or similar, COBRA, or no longer on parents’ insurance

Change in Eligibility

Change in status, citizenship, or release from incarceration

Enrollment Error

A technical error or delay made by the insurance agent or website

HRA or QSHRA

My employer has offered Individual Coverage or Qualified Small Employer

Go Back

None of these apply to me

It’s Open Enrollment

If you are applying for 2025, please hit Continue

Have a Qualifying Life Event?

Select all that apply

Change in Household

I Moved

Loss of Coverage

Change in Eligibility

Enrollment Error

HRA or QSHRA

Do you have a Qualifying Life Event?

Select all that apply to you in the last sixty days.

Change in Household

I Moved

Loss of Coverage

Change in Eligibility

Enrollment Error

HRA or QSHRA