Qualifying Life Events

In general, members can only change benefits once every year during an employer's open enrollment period. The exception to this rule is qualifying life events.

If you are eligible for benefits and have satisfied your benefit waiting period, the following qualifying life events would allow you to change your benefits for yourself, your spouse, or your dependents mid-year:

If you do not see your specific situation/scenario listed, please contact your HR administrator or our Member Advocate Team for assistance with the next steps.

 

Common qualifying life events:

  • They got married/entered into a Domestic Partnership/common law marriage
  • They got divorced/legal separation
  • Birth/Adoption/Legal Guardianship
  • They/their dependent lost their existing health insurance coverage
  • They/their dependent gained other health insurance coverage
  • They/their dependent gained coverage under Medicaid or CHIP
  • They/their dependent gained coverage through Medicare
  • Court-ordered Enrollment Change
  • Death of a dependent

 

Always refer to your Summary Plan Description (SPD) for full details on qualifying life events.

 

You only have 31 days after a qualifying life event to make changes to your benefits. To get started, log in to your Member dashboard and select the Benefits tab. Then go to the blue hyperlink that says “Need to make changes to your benefits?” 

 

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Once you submit your request, your employer will be contacted for approval.

  • If approved, your benefits will start or end on the date of your QLE. 
  • Sana does not prorate monthly premiums.

 

Have questions? We've got you covered.

Connect with Customer Support directly through the chat icon on most Sana pages or call us at (833) 726-2123 Monday through Friday, 7 AM to 7 PM Central.