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January 9, 2023 by Capital Services in Business

What Happens If You Miss Open Enrollment?

If you miss your open enrollment deadline, you could lose coverage and be unable to make benefits changes or enroll until the next enrollment period. One exception to this rule is if you experience a life-changing qualifying event that would trigger a special enrollment period (SEP). Events such as getting married or divorced, having children, or losing eligibility for other health coverage can trigger special enrollment rights.

Additionally, if you missed your employer’s enrollment deadline, there are a few other options for trying to obtain health insurance, including:

  • Spousal benefits
  • Young adult benefits under a parent’s plan
  • State insurance marketplace
  • Medicaid
  • Short-term health insurance

Contact your HR representative if you missed the open enrollment deadline and think you might qualify for a SEP.

Family-building Benefits

There have been shifts in the path to parenthood as many people turn to in vitro fertilization, surrogacy, and egg freezing to build their families. As such, employers are responding to these modes of family-building with expanded and inclusive benefits.

Family-building benefits can support many different forms, but some of the most common include fertility treatment, donors, and adoption. Family-building benefits can also include holistic support, such as emotional and mental health resources, as you build your family. Consider the following steps to better understand family-building benefits:

  • Be aware of which fertility treatments, testing, and other services are covered.
  • Ask if deductibles, copayments, or coinsurance are consistent with those for other health benefits.
  • Ask about any pre-certification hurdles or exclusions in family-building policies.
  • Research in-network clinics and service providers in your area.

HSA Basics

Investing in a health savings account (HSA) is a rapidly growing trend. An HSA is a tax-exempt savings account used to pay for qualified out-of-pocket medical expenses of an individual, their spouse, and dependents.

One of the most attractive features of an HSA is that these funds grow through the accrual of tax-free interest. Here are some other basics of an HSA:

  • HSAs have federally mandated contribution limits. The 2023 HSA contribution limit for self-only coverage is $3,850 and $7,750 for family coverage.
  • HSAs are portable even when changing jobs.
  • HSA funds can be carried over from one year to the next.
  • Both the employee and employer can contribute.
  • People ages 55 and up can make additional contributions to accelerate their savings.

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We believe that passion for people builds innovative workplaces that have higher levels of performance, more engagement and satisfaction, and overall cost reduction in long term health-related expenditures.

Capital Services Incorporated BBB Business Review

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215 Washington Avenue
Suite 400
Towson MD 21204

443-608-5520

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