Note: Any reference to "dependents" refers to children, spouse, or domestic partners

Qualifying life event You can... You cannot... Coverage change effective date
I got married • Add new coverage: Enroll yourself and your new spouse if you previously declined coverage.
• Add spouse and/or children to existing plan: Add your spouse and/or children to your current plan, with the option to change your plan as well.
• Cancel your coverage: Cancel your existing coverage if you are joining your spouse's plan. • Cancel coverage for any dependent: Remove a dependent from your existing coverage. First of the month following the QLE
I entered into a domestic partnership

Note: This varies by carrier and state, so check with your carrier for detailed information. | • Add your domestic partner to your coverage. • Add your domestic partner's children to your coverage. | | First of the month following the QLE | | I had a baby | • Add your baby to your plan. • Change your plan. • Add your spouse to your coverage if you are already enrolled, they are not currently enrolled, and you did not actively waive their coverage during a previous open enrollment. | • Add new coverage for yourself. • Cancel your coverage. • Remove a spouse from coverage. • Add or modify a domestic partner's coverage. • Add your spouse to coverage if you actively waived coverage for them during a previous open enrollment — even if they are not currently enrolled. • Add your spouse to coverage if you were not enrolled in a plan before this QLE. | Date of the QLE | | I adopted a child | • Add new coverage for yourself. • Change your plan. • Add dependents to your plan. | Cancel your coverage. | Date of the QLE | | I became a foster child's legal guardian | • Change your plan. • Add the dependent in question. | • Cancel coverage for other dependents. • Cancel your coverage. | Date of the QLE | | I became a child's legal guardian | • Change your plan. • Add the dependent in question. | • Cancel coverage for other dependents. • Cancel your coverage. | Date of the QLE | | I divorced my spouse | • Add or cancel your coverage. • Change your plan. • Add dependents to your plan. • Cancel coverage for any dependent. | | First of the month following the QLE | | My dependent passed away | • Cancel coverage for the dependent. | • Add or cancel your coverage. • Change your plan. • Add dependents to your plan. | First of the month following the QLE | | I lost my insurance coverage | • Add coverage for self and eligible dependents. | | Last day of coverage | | My dependent lost coverage | • Change your plan. • Add dependents to your plan. | • Cancel your coverage. • Cancel coverage for any dependents. | Last day of coverage *Carrier-specific exceptions may apply: For Kaiser small group plans, Premera (Washington), and Covered California/CalChoice, coverage may start on the first of the month after the QLE, plan selection, or application receipt unless the event date is already the first of the month. Confirm with the carrier for group-specific rules. | | My dependent lost Medicaid / CHIP coverage | • Add dependents to your plan. • Change your plan. | • Cancel your coverage. • Cancel coverage for any dependent. | | | My dependent gained new coverage | • Cancel coverage for your dependent. | • Add dependents to your existing coverage. • Change your plan. • Cancel your own coverage. | Date of the QLE | | The cost of care for my dependent changed | Change dependent care FSA. | • Cancel or change your coverage. • Cancel or change coverage for any dependents. | First of the month following the QLE | | My dependent moved outside the United States | • Remove the dependent in question from your coverage. | | Date of the QLE | | I am enrolling in my spouse's plan | • Cancel your coverage. • Cancel coverage for any dependents. | | First of the month following the QLE | | I am enrolling in other coverage | • Cancel your coverage. • Cancel coverage for any dependents. | | First of the month following the QLE |