Qualifying Life Events (QLE)

You may add, change, or cancel coverage during the plan year if you have a qualifying life event.

Qualifying life events are those situations that cause a change in your life that has an effect on your health insurance options or requirements. The IRS states that a qualifying event must have an impact on your insurance needs or change what health insurance plans that you qualify for. In either case, the qualifying life event would trigger a special enrollment period that would make you eligible to make changes to your benefit elections.

If you experience a Qualifying Life Event (for instance: getting married or having a baby), please contact PECO Pallet’s Benefits Helpline at (888) 236-6257 or PECO@AssuredPartners.com; proof of the Qualifying Life Event (QLE) must be submitted to PECO Pallet’s Human Resources Department within 30 days in order to change current benefit elections. You are responsible for meeting this deadline. If you do not request the appropriate changes during the applicable special enrollment period, you cannot make changes until the next plan enrollment period or, if applicable, until another qualifying life event occurs. Benefit adjustments resulting from a qualifying life event take effect on the first day of the month following the event date, with the exception of birth, adoption, and court orders.

There are 4 basic types of qualifying life events. (The following are examples, not a full list.)

Loss of Health Coverage:

  • Losing existing health coverage, including job-based, individual, and student plans

  • Losing eligibility for Medicare, Medicaid, or CHIP

  • Turning 26 and losing coverage through a parent’s plan

Changes in Household:

  • Getting married or divorced

  • Having a baby or adopting a child

  • Death in the family

Changes in residence

  • Moving to a different ZIP code or county

  • A student moving to or from the place they attend school

  • A seasonal worker moving to or from the place they both live and work

  • Moving to or from a shelter or other transitional housing

Other qualifying events

  • Changes in your income that affect the coverage you qualify for

  • Gaining membership in a federally recognized tribe or status as an Alaska Native Claims Settlement Act (ANCSA) Corporation shareholder

  • Becoming a U.S. citizen

  • Leaving incarceration (jail or prison)

  • AmeriCorps members starting or ending their service