Tag: mid-year election change

Question: If a spouse loses coverage under his plan due to nonpayment, is this a qualifying event to permit a mid-year enrollment for our employee to add the spouse? Answer: We are operating under the assumption that your plan specifically provides for mid-year election changes under Section 125 and that your plan documents specifically provide…

Question: Is it considered a permissible mid-year election change qualifying event to add legally-married same sex spouses to a company’s group health plan? Answer: The Internal Revenue Service (IRS) issued guidance with respect to federal tax law (including cafeteria plans and permissible election changes) following the Supreme Court’s ruling in United States v. Windsor.   The Department…

Question: Our employee waived health coverage for himself and family under our plan and has been covered on his spouse’s employer plan.  The spouse recently lost her job and lost health care coverage.  Would this qualify as a mid-year election change under our plan to allow the employee and his entire family to come on…