Qualifying Life Events: Loss of Other Health Coverage

SFHSS members and eligible dependents who lose other coverage may enroll by submitting a completed application and proof of loss of coverage within 30 days of the date other coverage terminates. Coverage can be lost due to termination of employment, change from full-time to part-time work, dropping other employer coverage during the Open Enrollment period, ineligibility for Medicare or Medicaid, unpaid leave of absence or return from military service.

Documentation of lost coverage must state the date other coverage ends and the names of individuals losing coverage. If required documentation is submitted, SFHSS coverage will be effective on the first day of the next coverage period. There may be a break in coverage between the date other coverage terminates and the date SFHSS coverage begins. 

You can make your health benefit elections online using Life Events or submit a completed Enrollment Application Form along with a copy of the legal documentation of your family status change.