Special Enrollments

For groups with open enrollments, certain qualified events trigger special enrollment periods when an employee may change or add dependents outside of open enrollments. These events fall within three categories:

  • Loss of coverage
  • Changes in family status
  • Changes in employment status

Allowed Changes

At the time of special enrollment, an employee/subscriber is allowed to:

  • Switch to any of the health coverage options offered by the group, not only the one which he/she is currently enrolled
  • Change or add dependents
  • Upgrade membership type (if necessary)

Request for Change

Submit the following documentation:

 

Most Common Qualified Events & Effective Dates

The table below highlights:
  • The most common qualified events
  • The effective date based on Blue Cross and Blue Shield of Vermont's receipt of the completed group enrollment form and proper documentation (if required)