Eligible Individuals:
- Be enrolled in a group health plan whose sponsoring employer has over 20 employees
- Experience a qualifying event
- Or must be a qualified beneficiary of the person experiencing the qualifying event
Qualified Beneficiary:
Anyone covered under a group health plan on the day before an event that causes loss of coverage including:
- Participating employees, including part-time employees
- Their spouses
- Their dependents
- Retirees (unless they are eligible for Medicare)
- Partners in a partnership
Non-Eligible Individuals:
- An employee who is not yet eligible for your group health plan
- An eligible employee who declined to participate in your group health plan
- An individual who is enrolled for benefits under Medicare
(Ref. United State Department of Labor)
