A qualifying event is one that would cause an employee who had group health coverage to lose that coverage. Dropping coverage during open enrollment is not a qualifying event, although doing so in conjunction with a qualifying event such as divorce or legal separation triggers COBRA rights for the spouse. COBRA qualifying events are listed on the DOL website and are as follows:
Qualifying Events for Employees
- Voluntary or involuntary termination of employment for reasons other than gross misconduct.
- Reduction in the number of hours of employment below plan eligibility requirements.
Qualifying Events for Spouses
- Voluntary or involuntary termination of the covered employee's employment for any reason other than gross misconduct.
- Reduction in the hours worked by the covered employee below plan eligibility requirements.
- Covered employee becoming entitled to Medicare.
- Divorce or legal separation of the covered employee.
- Death of the covered employee.
Qualifying Events for Dependent Children
- Loss of dependent child status under the plan rules.
- Voluntary or involuntary termination of the covered employee's employment for any reason other than gross misconduct.
- Reduction in the hours worked by the covered employee below plan eligibility requirements.
- Covered employee becoming entitled to Medicare.
- Divorce or legal separation of the covered employee.
- Death of the covered employee.
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