Open Enrollment Period (OEP) & Special Enrollment
Open Enrollment is a time when members can add to or change their health benefits or sign up for coverage. Applications received during the OEP are effective on the group's anniversary date.
To apply outside the OEP, a member must have a qualifying event. This is also known as a Special Enrollment Period. Some qualifying events are:
- Addition of a child through a Qualified Medcal Child Support Order
- Adoption or addition of a stepchild or stepchildren
- Birth and/or Death
- Marriage and/or divorce
- Legal custody of a child
- Reinstatement of civilian status of active duty military personnel
- Involuntary loss of other group health insurance coverage
For the events listed above, we must receive your written notice of the change within thirty (30) days. After thirty (30) days, your coverage cannot be changed until Open Enrollment.
You must notify us within 60 days if you or your dependent lost Mediaid or state Children's Health Insurance Program (CHIP) coverage (for example, ARKids). The loss could be because you are no longer eligible, or you or your dependent can get state help in paying your group plan premiums.
We allow sixty (60) days for adoptions and ninety (90) days for newborns and members leaving military active duty.