Which of the following is considered a “qualifying event” for health insurance?

Ready for the Illinois Accident and Health Insurance Exam? Study with flashcards and multiple choice questions with helpful explanations. Ace your test and advance your career in insurance!

A "qualifying event" for health insurance is a specific occurrence that allows individuals to access special enrollment periods or changes in health insurance coverage outside the standard enrollment periods. In this context, marrying or losing other health coverage indeed qualifies as a qualifying event. These life changes signify a significant alteration in an individual's circumstances that affects their health insurance needs.

When someone marries, they may wish to add their spouse to their health plan, prompting changes to their coverage. Similarly, losing other health coverage—such as through job loss, loss of eligibility for a government program, or other circumstances—creates an urgent need for new insurance coverage, allowing the individual to enroll in a new plan without waiting for the open enrollment period.

In contrast, the annual renewal of a health plan does not constitute a qualifying event; it's a scheduled occurrence that participants expect and plan for each year. Moving to a new state may affect health plan availability or coverage but is not automatically considered a qualifying event on its own unless it causes a loss of existing coverage. Reaching the age of 26 is relevant because it typically leads to the loss of coverage on a parent’s plan, thereby constituting a qualifying event, but it doesn’t reflect a direct action like marrying or losing coverage does.

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