Section 125 Midyear Election Changes
HIPAA Special Enrollment
Section 125 midyear election changes
Start by listening the audio cast, and then continue with the content.
If an employer determines that they are required to permit an individual to enroll in coverage midyear due to a special enrollment right, the employer may also permit the employee to pay for that coverage on a pre-tax basis if the employer has established a Section 125 plan. However, employers are permitted to allow individuals to enroll in or drop coverage on a pre-tax basis for several reasons, of which HIPAA special enrollment events are just one example.
HIPAA Special Enrollment Events
(Group health plan is required to permit enrollment.)
- Loss of Eligibility for Other Health Coverage
- Medicaid or CHIP Eligibility
- Acquisition of new Spouse or Dependent
Section 125 Midyear
Pretax Election Changes
(Employer can determine which to permit, if any.)
- Change in Cost of Benefits
- Significant Curtailment or Improvement of Coverage
- Change in Coverage Under Other Employer Plan
- Loss of Group Health Coverage Sponsored by Governmental or Educational Institution
- COBRA Qualifying Events
- Judgments, Decrees, or Orders
- Medicare or Medicaid Entitlement
- FMLA
- HSA
- Individual Plan Enrollment