You can add coverage for a spouse, domestic partner or child by filling out the form below or logging in to your Sharp Health Plan online account.
Starting February 1, 2023, you can only add a dependent if you've had a qualifying event. You may also use this form to cancel your existing policy or update your name or address.
Log in to your online account to remove a dependent from your plan. If you're covered through your employer, please contact your benefits coordinator.
Not sure what a “dependent” is?
A dependent is someone you claim on your tax deduction as a personal exemption. Examples of dependents could be:
Domestic partner also includes individuals who meet criteria 1-5 above and sign an affidavit attesting to that fact, if the employer has elected this option.
Having a baby is considered a “qualifying event,” and your little bundle of joy will get special enrollment coverage under your family plan automatically for their first 31 days.If your benefit plan is provided by your employer and you'd like to continue coverage beyond the first 31 days, then contact your employer’s human resources department. Your employer can give you instructions on how to add your newborn to your plan. If you purchased your family plan on your own, fill out an enrollment application or contact Customer Care for personalized help.
You can also download the application in Spanish.
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