When an employee has a life change

Help your employees and their families get covered.

Your annual open enrollment period takes place during the month leading up to your contract renewal, but life changes — for example, having a baby or getting married — can happen at any time of the year. So, how do you help employees and their dependents (including spouses) enroll in your group policy outside of open enrollment? That’s where special enrollment comes in. Read our top tips to help your employees and their families get the health coverage they need, year-round.

1

First, determine if your employee or their dependent is eligible to enroll through special enrollment.

When your employee experiences a “qualifying event,” such as adoption or marriage, they gain the opportunity to enroll in coverage outside of the annual open enrollment period. This is called special enrollment. In addition to having a qualifying event, employees and dependents must meet different eligibility requirements. It’s a good idea to make sure all the eligibility boxes check off before moving forward.

2

Your eligible employee or their dependent will need to complete, sign and date an Enrollment Application from one of our approved enrollment forms.

Find details in your Group Administration Manual under the “Enrollment” section.

3

Let us know in writing about any changes to an employee’s enrollment within 30 days of the qualifying event date.

  • Online
    Log in to your Sharp Health Plan online account to make updates to your employees’ enrollment.

    Note: If you complete the Excel enrollment form in your online account, you must email it to our Enrollment team and with a copy to your dedicated account management executive.
  • Email
    Send completed enrollment forms immediately to our Enrollment team with a copy to your dedicated account management executive. Please keep a copy for your records.
  • Fax
    Fax your completed enrollment forms to 1-858-499-8399.
4

Give any new enrolled employees an enrollment kit at least 31 days before their effective date of coverage.

We want to help make the onboarding experience as seamless as possible. If you’re running low on materials, please contact your dedicated account management executive.

If your employees and their dependents have any questions about their coverage, they can contact our Customer Care team using the phone number on the back of their Sharp Health Plan member ID card.