Frequently Asked Questions
Select one of the options below to get answers to some of the most commonly asked questions, learn more about some of your super nifty plan features, and more. We’re always happy to help you in person, so never hesitate to contact us if you prefer to work with a human (not a bot).
Frequently Asked Questions
Select one of the options below to get answers to some of the most commonly asked questions, learn more about some of your super nifty plan features, and more. We’re always happy to help you in person, so never hesitate to contact us if you prefer to work with a human (not a bot).
Frequently Asked Questions
Select one of the options below to get answers to some of the most commonly asked questions, learn more about some of your super nifty plan features, and more. We’re always happy to help you in person, so never hesitate to contact us if you prefer to work with a human (not a bot).
Frequently Asked Questions
Select one of the options below to get answers to some of the most commonly asked questions, learn more about some of your super nifty plan features, and more. We’re always happy to help you in person, so never hesitate to contact us if you prefer to work with a human (not a bot).
Frequently Asked Questions
Select one of the options below to get answers to some of the most commonly asked questions, learn more about some of your super nifty plan features, and more. We’re always happy to help you in person, so never hesitate to contact us if you prefer to work with a human (not a bot).
Frequently Asked Questions
Select one of the options below to get answers to some of the most commonly asked questions, learn more about some of your super nifty plan features, and more. We’re always happy to help you in person, so never hesitate to contact us if you prefer to work with a human (not a bot).
Frequently Asked Questions
Select one of the options below to get answers to some of the most commonly asked questions, learn more about some of your super nifty plan features, and more. We’re always happy to help you in person, so never hesitate to contact us if you prefer to work with a human (not a bot).
Frequently Asked Questions
Select one of the options below to get answers to some of the most commonly asked questions, learn more about some of your super nifty plan features, and more. We’re always happy to help you in person, so never hesitate to contact us if you prefer to work with a human (not a bot).
Frequently Asked Questions
Select one of the options below to get answers to some of the most commonly asked questions, learn more about some of your super nifty plan features, and more. We’re always happy to help you in person, so never hesitate to contact us if you prefer to work with a human (not a bot).
When could COBRA apply to you?
We’ve outlined the most common Qualifying Events that trigger your right to COBRA continuation so that you have an easy way to identify when (and if) COBRA applies to you.
Do I need to activate my Benefits Card?
No. The Benefits Card activates the first time you use it.
How do I get a Benefits Card?
Benefits Cards are automatically sent to you when we enter your enrollment (you get a welcome email from us when this happens). They arrive in plain, unmarked white envelopes because they have a cash value (this is required by law for your security). You should expect to get your Benefits Card within 5 – 10 days from the time you get your welcome email.
TIP: You can see your Benefits Card issue date on your online account so that you can get an idea of when to expect it in your mailbox if you are familiar with your local USPS delivery windows.
What do I do If my Benefits Card doesn't arrive?
If you do not get your Benefits Card within 5 – 10 business days after you receive your welcome email from Igoe, you can report your card Lost/Stolen using the How-To Guide in our Resource Center if you need help with the process. Of course, you can also contact us for help.
How do I report a card lost or stolen?
You can report your card Lost/Stolen by calling our 24/7 IVR or by using your portal or mobile account. We have a nifty How-To Guide available in our Resources Center if you need help with the process. Of course, you can also contact us for help as well.
Where do I find my PIN?
All “debit cards” are required by law to have a PIN. However, you DO NOT NEED A PIN to use your card. Just run the card as a credit card if asked. The PIN for your Benefits Card is pre-assigned and can be found in the in the Benefits (or Debit) card section of your online of mobile account by clicking on “View PIN”.
Do I need a new Benefits Card each plan year?
No. Keep your Benefits Card as it will be reloaded with the election you make for the next plan year, as long as the plans are carded, and will remain valid until its expiration date. We’ll automatically issue you a new card 30 days before the Benefits Card is set to expire provided you are still actively enrolled in the program.
Do I need a different Benefits Card if I am enrolled in more than one plan?
Nope. Your Benefits Card transaction will pull funding from the appropriate plan based the type of merchant you use your card at, provided that the plan is carded.
What documentation is needed to submit for my Benefits Card substantiation request?
When we must ask for documentation to demonstrate that IRS guidelines are being followed, we’ll contact you and request that you submit documentation. Remember, you need to always have documentation on hand in the event of a personal IRS audit. The documentation requested must include the following five items:
* The name of the provider * The name of the patient or recipient of the product * A description of the services provided or the product purchased * The date the service was provided, or the product was purchased * The cost of the service or product.
Your insurance carriers’ explanation of benefits (EOB) is an excellent document to provide. Please do not provide credit card receipts. |
Why am I being asked to provide a receipt for my Benefits Card transaction?
The simple answer is that the IRS requires it. Because you don’t have to pay taxes on the money in these accounts, the IRS expects that you will keep receipts to verify the expense is eligible. As an administrator, we are required to periodically ask plan participants to send those documents in. There are criteria we must use to determine when to do that. We don’t like extra work anymore than you do, but it’s the law, so it’s important that we work together when this happens.
Why did my funds pull from current plan year instead of my prior one when I used my Benefits Card?
If your employer’s plan does not offer a grace period or carryover, the Benefits Card will use the date of the transaction to determine what plan year to pull funds from beginning on midnight CST. You may submit manual claims for expenses incurred during the prior plan through the end of the Runout. If you charged your Benefits Card in error for a prior year expense, you may use this claim correction form.
Why is my Benefits Card declining?
There are 3 main reasons this can happen: (1) You have low funds in your account. The card is a stored value card and will decline if it is charged for an amount higher than what you have in your account. (2) The merchant is not registered as an eligible merchant for your program (even if they provide eligible services) or (3) There is a technical issue between the card reader and MasterCard. Simply present another form of payment, seek reimbursement and contact us so we can research the reason for the denial and offer you guidance for future purchases.
How do I send in my receipts for Benefits Card transactions?
The simple answer is because the IRS says so. They aren’t taxing money that runs through these plans, but they do monitor that the plans are used correctly.
If you have a transaction that has been flagged for additional review in order to appease IRS requirements, separate notification & instructions are emailed to the account listed in your Profile section of your online or mobile account. On your personal dashboard, you’ll also see an action alert that will let you know if you have a transaction that requires attention.
Please provide documentation that includes ALL of the following required criteria so we can clear your transaction:
*The date of the service (this is the date the product was purchase if you are using your card to purchase qualified goods – not necessarily the date your card was charged)
*The amount of the services (this may or may not match the card charge)
*The provider’s name
*A description of the expense (credit card receipts are not acceptable)
*The name of the person for whom the service was provided
Upload your documentation through your online or mobile account.
How do I file a claim?
• Via the Igoe Participant Portal. For instructions, visit the Resources Center and download the How-To Guide
• Via Igoe Mobile. For instructions, visit the Resources Center and download the How-To Guide
• Manually by using a claim form located in our Forms Library
How long does it take to get reimbursed?
Claims are reviewed daily and are generally added to your account as an approved, partially approved or denied claim within 1 – 3 business days, the release of payment depends on your employer’s payment schedule. Most employers have authorized Igoe to release payment on a daily payment cycle
What do I do if I disagree with a claim denial?
If you believe your claim was denied in error, you may file an appeal using the Claim Appeal Form located in the Forms library. In most cases, appeals will need to be reviewed by a special appeals committee established and operated by the employer Plan Sponsor. Please allow 7-10 business days for initial review results. Keep in mind that the IRS established the rules for claims eligibility. As a result, there is little your employer may be able to do to reverse a denial decision.
What do I do if my claim was paid out of the wrong plan year?
If you believe that your claim was paid out of an incorrect plan year, you can request that funds be replaced into the plan year that the claim was paid from and that the claim be deducted from the correct plan year as long as there are enough funds in both plan years to support the transfer and you are within the claim submission window for both plan years. Visit our Forms Library for the claims correction form to initiate your request.
What happens to unused funds?
Except for the HSA, which is a portable account (meaning it goes with you wherever you go), any money you electively put into a spending account and do not use within your eligibility and/or spending period is forfeited to the plan. This is an IRS rule and is required under tax law to preserve the tax-free nature of the benefit. Forfeited funds remain with the employer who sponsors the program. As a reminder, when signing up for these programs, you agreed to forfeit salary to earn a benefit so that you are not taxed on that income. Further, you are not taxed when using those funds (except for LSA programs). At the end of the day unused funds are essentially a forfeited salary that was never earned and never spent on the benefit you exchanged that salary for.
What can I use my plan to pay for?
There is no exhaustive list of eligible expenses. The IRS has not published on and only released a definition of what items meet the basic requirements for eligibility. We’ve linked to the best eligibility list available to the industry, which is maintained and updated daily by Health-E Commerce. Health-E commerce works directly with several organizations and retailers to offer this state-of-the-art resource. You can find this link on our Spending Account Page and in our Resources Center.
NOTE: Expense eligibility is generally more restrictive for HRA plans and can vary based on plan design. Additionally, LSA programs are employer specific. An eligibility list that provides examples of items based on the types of LSA programs offered by Igoe will be added to our Resources Center soon.
How do I resolve a "Balance Due"?
If you have a “Balance Due” on your account, that means you used your Benefits Card for something the IRS has indicated is not eligible for tax-free treatment, was incurred outside of your eligibility period, or we haven’t gotten the documentation the IRS is requiring that we ask for to verify the purchase. To walk you through the repayment process, use the How-To Guide available in our Resource Center.
How do I send in my receipts for Benefits Card transactions?
The simple answer is because the IRS says so. They aren’t taxing money that runs through these plans, but they do monitor that the plans are used correctly.
If you have a transaction that has been flagged for additional review to appease IRS requirements, separate notification & instructions are emailed to the account listed in your Profile section of your online or mobile account. On your personal dashboard, you’ll also see an action alert that will let you know if you have a transaction that requires attention.
Please provide documentation that includes ALL the following required criteria so we can clear up your transaction:
*The date of the service (this is the date the product was purchase if you are using your card to purchase qualified goods – not necessarily the date your card was charged)*The amount of the services (this may or may not match the card charge)
*The provider’s name
*A description of the expense (credit card receipts are not acceptable)
*The name of the person for whom the service was provided
Upload your documentation through your online or mobile account.
Can I get reimbursed via Direct Deposit?
Direct deposit is generally available to all plan participants. However, some employers may not offer this option. To find out if you can add this reimbursement method to your account, access your Igoe Participant Portal or Mobile account, open your profile and click on “My Reimbursement”. Alternatively, on your dashboard, you will see a “Get Reimbursed Faster?” message, if you are not signed up for this benefit and are eligible to. For instructions on setting up direct deposit, visit our How-To Guide section in our Resource Center.
How Do I validate my bank account to complete by direct deposit set up?
Because there are so many “bad actors” out there who consistently try to fraudulently access bank accounts, we have added layers of security to your Igoe-powered benefits. While this may seem like a pain when trying to connect your bank account to your spending account, it is well worth it in the long run. When setting up direct deposit, you will be asked to validate that your bank account is actually yours by verifying some microtransactions within 48 hours of entering your account in our system. For information about this process, visit our Resource Center and download our How-To Guide.
Can I change my annual election or per pay period contribution amount after open enrollment?
Commuter Plans: Contribution amounts can be changed monthly depending on your commuting needs. Please contact your Benefits Administrator or Human Resources Department for specific information related to changing your election amount. Please be aware that most changes are prospective and need to be made prior to the month in which you wish to change your contribution levels.
COBRA: COBRA coverage cannot be changed once elected with the exception of dropping coverage OR if you are enrolled in COBRA during an open enrollment period.
Direct Premium Billing: If you are being offered the opportunity to continue in an employer sponsored program but required to pay premiums directly (outside of COBRA), election change rules are set by the employer sponsoring that program. Please contact your Benefits Administrator or Human Resources Department for specific information related to changing your election outside of open enrollment.
DCA Plans: DCA plans allow election changes that correlate to your changing day care needs. If you no longer have day care expenses, you can stop contributing to the plan. If you are adding dependent card expenses, you may join the plan. If you have an increase or decrease in your dependent care costs, you may make a change correlating to your contributions. To make changes to your DCA contribution amounts, please contact your Benefits Administrator or Human Resources Department.
HRA Plans: HRA plans are fully funded by your employer and are uniquely designed to work in conjunction with their overall benefit offering. Each HRA plan is designed differently. As a result, any requested changes should be researched directly with your Benefit Administrator or Human Resources Department.
HSA Plans: Contributions made to your HSA can be changed at any time if the changes are within the IRS limits for your coverage level. To make changes to your HSA contribution amount, please contact your Benefits Administrator or Human Resources Department for more personalized assistance.
LSA Plans: HRA plans are fully funded by your employer and are uniquely designed to work in conjunction with their overall benefit offering. Each LSA plan is designed differently. As a result, any requested changes should be researched directly with your Benefit Administrator or Human Resources Department.
When does open enrollment begin and how do I report my enrollment decisions?
Open Enrollment is managed by your employer and will generally take place between 15-60 days prior to the beginning of your new benefit plan year. Igoe recommends that all inquiries related to your open enrollment be directed to your Benefits Administrator or Human Resources Department.
Do I need to be enrolled in my employers Medical Plan in order to enroll in their FSA?
No. The FSA is an independent tax program that you can enroll in as long as you are not enrolled in a High Deductible Health Plan and actively contributing to an HSA.
Can I enroll in an FSA and elect the full maximum if my spouse is in an FSA through their employer?
Yes. The only thing you need to watch out for is that you don’t submit for reimbursement for the same expense from each FSA in error. This is consider double dipping.
I missed Open Enrollment, and would like to still enroll into the benefit.
All enrollments are handled by your employer’s Benefits Team. Igoe Administrative Services will be unable to establish enrollment and recommend contacting your benefits Administrator or Human Resources Department for more personalized assistance.
Why is my account not active during my Leave of Absence?
If you are not contributing to the benefit while on a leave, your plan is temporarily suspended until you have returned. This also means that any Benefits Card/s tied to your account are temporarily inactivated. Upon your return, your employer may allow you to make up missed contributions allowing you to be reimbursed for expenses incurred during the suspended period. Please consult with your Benefits Administrator or Human Resources Department to explore your options prior, during or immediately upon your return from a Leave of Absence.
How does the 2.5 Month Period work?
The 2.5 month Grace Period is an additional period (2.5 months) after the plan year has ended where you can incur new claims but use your prior year funds to pay for them. We have a guide available to walk you through this feature in our Resource Center.
The 2.5 month Grace Period is an elective plan design feature that is not part of all employer plans. Please reference your Summary Plan Description that was supplied to you by your Human Resources Department or view your spending timelines on your personal profile to see if this feature applies to you.
The 2.5 month Grace Period is not available for Commuter or LSA plans.
How does my Benefits Card work during the Grace Period
The plan pays manual claims from your previous year’s balance until the funds are gone or the Grace Period ends. The Benefits Card uses the date of the transaction to determine the service date. It does not know if you are saving your prior year funds to reimburse yourself for a service you haven’t claimed yet, so it will pull funds from your new year election if you have one.
How does the Carryover work?
The Carryover is an elective plan design feature that protects a certain amount of funds each year from being forfeited. These protected funds move into your account balance for the next plan year so that you can spend those dollars in addition to any new election you may make. The limit that can be carried over is set annually by the IRS based on cost-of-living adjustments (COLA) that are generally released in late October. Employers generally adopt this limit but can set a different limit if they chose. They just can’t go over this limit.
We have a nifty little video about the Grace Period in our Resources Center Video library. It’s so much easier to watch a little video than to read about the Grace Period. We also have a guide available if you prefer to read more.
The Carryover is an elective plan design feature that is not part of all employer plans. Please reference your Summary Plan Description that was supplied to you by your Human Resources Department or view your spending timelines on your personal profile to see if this feature applies to you.
Carryover is not available for Dependent Care Assistance, Commuter or LSA plans.
What happened to my Carryover Balance? I no longer see it in my account.
At the beginning of everyone plan year, we separate out your “carryover” eligible funds as they have a dual purpose. You can still use them for prior year purposes while you are in a claim run out submission period OR you can use them for new plan year expenses. Once that prior year claim submission period ends, your final carryover balance is calculated, and any eligible funds are officially placed into your then-current plan year for ongoing use.
While this can be confusing when both plans are open for operation, trust us, we know what we are doing – which is making sure you get to maximize fund use.
Why is there a still a balance when my employers plan offers the carryover?
If you have more money left in your prior plan year than is eligible to be carried over, those are titled as “expiring funds”. We do that so that you have eyes on what money you’ll want to send in a claim for before the claim submission period for that plan year ends.
I have expenses I intended to apply to my prior plan year, but it looks like they came out of the current plan year even though I have the carryover or grace period feature. What do I do?
If you believe that your claim was paid out of an incorrect plan year, you can request that funds be replaced into the plan year that the claim was paid from and that the claim be deducted from the correct plan year as long as there are enough funds in both plan years to support the transfer and you are within the claim submission window for both plan years. Visit our Forms Library for the claims correction form to initiate your request.
What is an HSA and how it is different from an FSA?
Visit our Resource Center and check out our Video library. We have a handful of short (and we mean short) but very helpful videos that unpack HSAs, why you should have one if you are enrolled in an HDHP, how they differ from an FSA and more.
What do I need to do to transfer my HSA to my Igoe Account?
Within your portal or mobile account, you can access the HSA Transfer form that must be completed and submitted to WealthCare Saver to arrange the bank-to-bank transfer. You may also be eligible for an easy transfer depending on who your HSA is with. Check out the easy transfer option available in the participant portal to find out!
How do I transfer and close my Igoe HSA?
We hate to see you go, but we get it.
You will need to contact your new Trustee provider to arrange the transfer and facilitate the closure of your account. We recommend allowing the Trustee provider to arrange the transfer to prevent any tax penalties. Should you have monies vested within your Investment Account, you must liquidate the balance prior to arranging your transfer.
Why am I unable to transfer money to an investment account?
Establishing your investment account can only be arranged while the stock market is open (9:30 am – 4:00 pm ET.). You may arrange automated transfers from your HSA to your investment account through your portal or mobile account. You must maintain a minimum of $1,000.00 within your HSA to begin investing.
What can I use my Lifestyle Account (LSA) to pay for?
The LSA benefit varies by employer. The taxable benefit may be used for personal expenses, however, not for medical services covered by an FSA, HSA, or applicable HRA plan.
We’re working on a new eligibility list that will outline examples of eligible expenses based on the categories of LSAs that we offer. Be on the lookout for this new feature in our Resource Center. Until then, we have several overviews posted on the Spending Accounts page that can hopefully get you on the right track.
Why is my Benefits Card not working for my Lifestyle Account?
If your Benefits Card isn’t working for your LSA, it could be because: you have insufficient funds in your benefit account, you’re trying to use it at a merchant that isn’t accepted, or there might be an issue with the merchant’s system processing the transaction. We recommend paying out of pocket and submitting the receipt for reimbursement. We get it, you’d rather use your Benefits Card but given the specificity of what these plans are meant to cover, the Benefits Card will only work in more limited scenarios.
Trouble Registering?
We get it. Registration is a super secure process…perhaps a bit too secure to be user-friendly. Trust us when we say it is important that we take these steps as we listen to our partners at MasterCard and within the banking industry talk about the tenacity of bad actors within the wealth and health sectors. For help registering, visit our Resource Center and download our How-To Guides. For this one, you may also want to plan to call one of our agents during our operating hours. If you go this route, please be sure that the call is placed by the primary accountholder and not an authorized dependent.
Why am I not receiving my onetime passcode (OTP)?
If your OTP is going to a work email, chances are it is being blocked by your employer’s firewall. While this may be annoying, it’s a good thing. This means they are working hard at protecting you too! Please report this to your Benefits Administrator or your Human Resources Department so that they can let their Igoe representative know, and we can work on fixing the root cause. In the meantime, please contact us during our operating hours so we can work with you to find an alternative means to securely register your account.
I got an error message when signing in. What do I do?
An error could occur for various of reasons. The most common is that your account was locked because you picked a super cool username that someone else really liked, wanted to use as their own (or thought they did) and attempted to login with but failed the login after 3 attempts because, wouldn’t you know it, it wasn’t their username after all. This resulted in your account being locked for security reasons (sigh). Sometimes, your account can misbehave if you are accessing it outside of the US or during a weekly maintenance window, too – but that’s less common. The point is, this can happen to the best of us and often has nothing to do with you or with us. Contact us if it does so we can help you get it resolved.
I got an error during registration. What do I do?
An error could occur for various reasons. The most common is that the zip code provided with your enrollment contains 9 digits instead of 5 which sometimes freaks our system out. We’ve accounted for this in our programming, but sometimes the data simply doesn’t sync. Another common reason is that you may already have an account with us under a different employer that is still active. If you experience this issue, contact us during operating hours so we can help you out.
The system shows my username exists, but the email is not mine. What do I do?
Sadly, that means your favorite username was taken by someone else. If you attempt to use your favorite username but the email address doesn’t look right or you can’t get in after 2 attempts, please stop trying. Our system locks accounts after 3 attempts. If you try again, you may lock another person out of their account and cause access issues for them. Do another savvy saver a favor and contact us before that third attempt so we can help you with your login.
Definition: Authorized
The Transaction is being held until cleared for settlement by the merchant. Authorization may take 3-5 business days to settle. No action is needed from you currently.
Definition: Ineligible
The Transaction has not been established as meeting the criteria to receive the tax savings the plan offers and needs to be resolved. Unless determined to be an eligible expense, arrangements should be made to repay the plan. In some cases, the Benefits Card may be temporarily suspended until repayment is arranged.
Definition: Ineligible - Partial Manual
The Transaction has not been established as meeting the criteria to receive the tax savings the plan offers and has been partially resolved with one or more manual claims. Arrangements should be made to either repay the remaining portion back to the plan or the amount must be offset by another claim. Unless determined to be an eligible expense, arrangements should be made to repay the plan. In some cases, the benefits card may be temporarily suspended until repayment is arranged.
Definition: Insufficient Documentation
The Transaction has not been established as meeting the criteria to receive the tax savings the plan offers and needs to be resolved. Please provide documentation including the date of the service, the amount, the provider, a description of the expense and the name of the person for whom the service was provided to us as soon as possible.
Definition: Pending
The Transaction has been flagged for additional review by Igoe in compliance with IRS Adjudication. The purpose of this review is to ensure that the transaction meets the criteria to receive the tax savings the plan offers. Separate notifications were emailed to you to the email account listed in your Account Settings on this site. Please provide documentation including the date of the service, the amount, the provider, a description of the expense and the name of the person for whom the service was provided as soon as possible.
Definition: Resolved
A previously ineligible transaction was determined to be eligible, or your employer notified Igoe that arrangements were made to repay the amount back to the plan. No additional action is needed.
Definition: Resolved - Manual Claim Offset
The Transaction was determined to be ineligible to receive the tax savings the plan offers and was offset by one or more manual claims. No additional action is needed.
Benefit Card: What is the difference between Pre-Auth and Force Post?
A Benefits Card transaction has two parts. When you swipe your card at the time of your purchase, the merchant verifies your account for the amount being purchased and the approved purchase amount is subtracted from your account; this is called a pre-authorization. The Force Post is the second and final part of the transaction. This occurs when the merchant requests the dollar amount of the purchase and receives the money. Typically, the time span between the pre-auth and the Force Post is one or two business days.
Voluntary Termination
In simple terms, voluntary termination happens when an employee chooses to leave their job, whether it’s by resigning, retiring, or stepping down from their position.
Involuntary Termination
In simple terms, involuntary termination happens when an employee is let go from their job, whether it’s due to being fired, laid off, or any other reason where the employee didn’t choose to leave.
Reduction in Hours of Employment
Let’s dive into reduction in hours of employment as a COBRA qualifying event.
This happens when an employee’s work hours are cut back to the point where they’re no longer considered full-time (often under 30 hours a week, depending on the employer’s policy). Because their status has changed, their health coverage could end or change as well.
Death of Employee
When an employee passes away, their family members or dependents might lose their health coverage under the employer’s plan.
If the employee who passed away was covering family members or dependents on their health plan, those dependents may be eligible to continue their coverage under COBRA for up to 36 months. This gives them time to transition to other coverage options while keeping their health benefits intact during a tough time.
Divorce or Legal Separation
If an employee gets divorced or legally separated, their ex-spouse might lose coverage under the employee’s health plan.
When this happens, the former spouse (or sometimes a dependent child) can elect to continue their health coverage under COBRA, just like if they had lost coverage for another reason. They’ll be able to keep the same health benefits, but they’ll be responsible for paying the full premium on their own.
So, if you’re going through a divorce or legal separation, COBRA gives the ex-spouse the option to keep their coverage for up to 36 months, ensuring they’re not left without health insurance during a time of transition.
Medicare Entitlement
When an employee or their family member becomes eligible for Medicare (usually at age 65), they might lose eligibility for their employer’s health plan.
If you or a covered family member become eligible for Medicare, you can still choose to continue your employer’s health coverage through COBRA for up to 36 months. The key here is that while you can stay on your employer’s plan, you’re now eligible for Medicare, so you’ll have to weigh your options between continuing with COBRA or switching to Medicare for your health coverage.
Loss of Dependent Child Status
This happens when a child ages out of their parent’s health plan, usually when they turn 26 (depending on the plan). Once they hit that milestone, they’re no longer considered a dependent under the employer’s health coverage.
If a child loses their status as a dependent (because of age, for example), they can elect to continue their coverage under COBRA for up to 36 months.
Reduction in Hours Worked
When an employee’s hours are reduced (typically to less than 30 hours per week, depending on the employer’s plan), they may no longer qualify for the company’s health insurance because they’re no longer considered a full-time employee.