What are common qualifying events?

Asked by: Modesta Denesik  |  Last update: October 14, 2026
Score: 4.1/5 (48 votes)

Common qualifying events, or Qualifying Life Events (QLEs), are significant life changes that allow individuals to enroll in health insurance outside the annual open enrollment period. Major categories include losing coverage, changes in household (marriage, birth, divorce), moving, and changes in income or employment status.

What are examples of a qualifying event?

Qualifying events (QLEs) are major life changes, primarily for health insurance, that let you enroll or change plans outside open enrollment, including losing coverage, gaining/losing dependents (birth, adoption, aging off parents' plan), marriage/divorce, moving (new zip code/state), or changes in income affecting subsidies. Other QLEs involve becoming a citizen, leaving incarceration, or AmeriCorps service.
 

What occurrences are considered qualifying life events?

A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment Period, allowing you to enroll in health insurance outside the yearly Open Enrollment Period.

What does the IRS consider a qualifying event?

These events are defined by the IRS and include: Change in your legal marital status (i.e., marriage, legal separation, divorce, or death of your spouse) Change in employment status (for you, your spouse, or dependent) that affects eligibility for health insurance benefits. Change in your number of tax dependents.

What qualifies as QLE?

A QLE is a certain change in your life, such as marriage, birth of a child, or retirement from active duty, which may mean different TRICARE health plan options are available to you. A QLE opens a 90-day period for you to make eligible enrollment changes.

Qualifying Life Events Explained What Employees Need to Know Tutorial

34 related questions found

Is turning 26 a QLE?

If you have only one eligible family member remaining, your child turning age 26 is a QLE that allows you to decrease your enrollment to Self Plus One.

Can I drop my health insurance without a qualifying event?

If you're covered by an employer-sponsored plan, you usually can't cancel at will. You'll need to wait for open enrollment or have a qualifying life event like a new child, marriage, or job loss. These plans follow IRS rules that limit mid-year changes.

Will the donut hole go away in 2025 Medicare Part?

Yes, the Medicare Part D donut hole (coverage gap) is officially gone as of January 1, 2025, eliminated by the Inflation Reduction Act (IRA), simplifying coverage into three phases: deductible, initial coverage, and catastrophic, with a new $2,000 out-of-pocket spending cap for covered drugs in 2025.
 

Is a spouse losing a job a qualifying event?

Is a spouse quitting their job a qualifying life event? Yes. If your spouse quits their job, it's considered an involuntary loss of health coverage, no matter the situation. If they were the one whose employment provided health insurance, you would be able to seek a new plan during a Special Enrollment Period.

What are the biggest mistakes people make with Medicare?

Here are some of the biggest Medicare mistakes to avoid:

  • Missing the initial enrollment window. ...
  • Assuming Medicare covers everything. ...
  • Overlooking the benefits of supplemental coverage. ...
  • Forgetting to enroll or re-evaluate prescription drug coverage. ...
  • Not comparing plans regularly.

What are the categories of life events?

'Life events' (LEs), can be defined as occurrences that happen to most people at some time during their lives, but which are nevertheless extraordinary occurrences for the individual (Dohrenwend 1975). LEs include bereavement, birth of a first child, physical illness, redundancy and marriage.

Does insurance cancel after retirement?

Usually, life insurance is offered as a benefit to active employees, and it lapses when you cease being an employee of the company. However, some employers may allow retiring employees to convert the policy into a permanent life plan to keep the insurance coverage.

What is the 3 month rule for Medicare?

Generally, you're first eligible to sign up for Part A and Part B starting 3 months before you turn 65 and ending 3 months after the month you turn 65. (You may be eligible for Medicare earlier, if you get disability benefits from Social Security or the Railroad Retirement Board.)

Is having a baby a life-changing event?

The reality is that having a child changes your life in countless ways, and you will never be quite the same again. There will be sleepless nights, moments when you're covered in vomit and milk, and times when you just want to run away from the crying.

What is the IRS $10,000 rule?

The IRS "10k rule" primarily refers to the requirement for businesses and financial institutions to report cash transactions over $10,000 by filing Form 8300 (for businesses) or a Currency Transaction Report (CTR) (for banks), under the Bank Secrecy Act. This rule helps combat money laundering, tax evasion, and terrorist financing, requiring reporting for single transactions or related transactions totaling over $10,000 in cash within a year, with penalties for non-compliance.

How do you avoid the 22% tax bracket?

To avoid the 22% tax bracket (or any higher bracket), focus on reducing your taxable income through strategies like maxing out 401(k)s and HSAs, deferring bonuses, tax-loss harvesting, smart charitable giving, and strategic asset location, understanding that higher rates only apply to income within that bracket, not your entire income.

How much trouble can you get in for not filing a 1099?

Key Takeaways

If a business intentionally disregards the requirement to provide a correct Form 1099-NEC or Form 1099-MISC, it's subject to a minimum penalty of $660 per form (tax year 2025) or 10% of the income reported on the form, with no maximum.

What are examples of qualifying events?

Qualifying events (QLEs) are major life changes, primarily for health insurance, that let you enroll or change plans outside open enrollment, including losing coverage, gaining/losing dependents (birth, adoption, aging off parents' plan), marriage/divorce, moving (new zip code/state), or changes in income affecting subsidies. Other QLEs involve becoming a citizen, leaving incarceration, or AmeriCorps service.
 

Does cancellation affect credit score?

Canceling a credit card can hurt your credit score. When you cancel a credit card, there are multiple credit score factors that can be impacted. By how much your credit health is impacted depends on your credit history and the credit scoring model used.

Do I lose my parents' insurance the day I turn 26?

Yes, you typically get "kicked off" your parents' health insurance when you turn 26, but the exact timing depends on the plan type (employer or Marketplace) and your state's laws, with federal law requiring coverage until age 26, but some states like NY, NJ, FL, IL, PA, SD, WI, and NE offer extended options past 26, and a disability exemption for longer. You usually remain on the plan until the end of the month you turn 26 or the end of the calendar year if it's a Marketplace plan, triggering a Special Enrollment Period (SEP) for your own coverage. 

Is getting a job a qualifying life event?

Getting a new job is sometimes considered a qualifying life event for special enrollment, if it meets certain criteria or results in a loss of coverage.

How much does it cost to buy health insurance on your own?

Buying health insurance on your own averages around $450-$600+ monthly for an individual plan in 2025-2026, depending heavily on your age, location, income (affecting subsidies), and plan tier (Bronze, Silver, Gold), with Silver plans often around $600-$620 but much lower if you qualify for marketplace tax credits. Factors like tobacco use and your specific healthcare needs (deductibles, copays) significantly impact your total cost, with lower premiums often meaning higher out-of-pocket expenses.