I Lost My Coverage, Now What? (2024)

If you have lost your coverage or your coverage is going to end there are many options for you. It all depends on what type of coverage you just lost or are about to loose. Below are some options that may be helpful to you:

I have Employer-Based Coverage

If your employer-based coverage is ending, you have several options:

Continuation Coverage programs include COBRA, Cal-COBRA, and HIPAA. These programs allow you to extend your employer-based coverage for a certain amount of time.

You can also shop for new coverage on the individual/family market.

I have Individual/Family Coverage

If you bought an individual/family policy (either directly from an insurer, through an agent or broker, or through Covered California), there are very few ways in which your insurer can rescind or cancel your coverage. Insurers can rescind your policy if you intentionally misrepresent material facts on your application.

Insurers can cancel your policy if you do not pay your premium. However, you have a 30 day grace period before insurers can cancel your policy. Insurers must give you 30 days notice by mail if they are going to cancel your insurance policy.

If an insurer sent you a policy cancellation letter, and you disagree with their reason for cancelling your policy, contact us at 1-800-927-4357 (HELP) or visit or online Consumer Hotline for help.

I Lost My Coverage, Now What? (2024)

FAQs

How to write a loss of coverage letter? ›

Letter from your previous employer - This letter must be on company letterhead or stationery with the employer's signature. It must indicate your name, the names of any dependents that were covered under the prior plan and the date the previous health coverage ended.

What are examples of a qualifying event? ›

A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment Period, allowing you to enroll in health insurance outside the yearly Open Enrollment Period.

What is the meaning of lost coverage? ›

Loss of Coverage means a complete loss of coverage under, or elimination of, a Component Plan or a Medical or Dental Plan, including the elimination of a Component Plan.

What happens if someone cannot afford HealthCare? ›

If you do not have health insurance, Covered California can help you determine if you qualify for Medi-Cal or federal subsidies, and can provide you with coverage options and plan costs. You can contact Covered California by phone at (800) 300-1506, TTY: (888) 889-4500 or by visiting their website at www.coveredca.com.

What is an example of proof of loss of coverage? ›

Forms of acceptable documentation include a letter from the employer on company letterhead stating when your coverage will end, COBRA Election Notice or a Certificate of Creditable Coverage from your insurance provider, or plan policy which confirms health benefits end date based on eligibility.

What are qualifying statements? ›

(of a statement) containing extra detail or explanation (which makes a prior statement less strong or less general)

What are three scenarios that qualify you for a special enrollment period? ›

You qualify for a Special Enrollment Period if you've had certain life events, including losing health coverage, moving, getting married, having a baby, or adopting a child, or if your household income is below a certain amount.

What are the list of life events? ›

The list of potential life events that people can experience in their lifetime is daunting and includes the following events (non-exhaustive): marriage, divorce, death of a loved one, birth of a child, migration, a new job, promotion, job loss, unemployment, illness onset, disability, and retirement.

What is loss coverage? ›

Loss assessment coverage is an optional endorsem*nt that you can add onto your homeowners insurance or condo insurance policy. It helps protect you if you live in a shared community, like a condo or homeowners association (HOA), where you're responsible for a portion of damage or loss in a common area.

What is the actual loss coverage? ›

Actual total loss, also known as "total loss," occurs when an insured property is totally destroyed, lost, or damaged to such an extent that it cannot be recovered. In these cases, the insured party should qualify to receive a payout from the insurance company for the full insured value of the property.

What should my loss of use coverage be? ›

Loss of use coverage on home insurance policies typically offer 10% or 20% of your dwelling coverage. For example, if you have $200,000 in dwelling coverage, you'd be covered up to $20,000 or $40,000 in the event of a covered loss, depending on your policy.

How do poor people pay for healthcare? ›

Medicaid and the Children's Health Insurance Program (CHIP) provide free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities.

What happens if you can't pay for medical care in the USA? ›

You can take steps to make sure that the medical bill is correctly calculated and that you get any available financial or necessary legal help. If you do nothing and don't pay, you could be facing late fees and interest, debt collection, lawsuits, garnishments, and lower credit scores.

What happens when someone does not have health insurance? ›

If you don't have health insurance, you're at much greater risk of accumulating medical bills that you may not be able to pay. In a worst-case scenario, you could be sued and have your wages garnished. You might even be forced into bankruptcy.

What is an insurance loss letter? ›

Proof of loss is a legal document that explains what's been damaged or stolen and how much money you're claiming. Your insurer may have you fill one out, depending on the loss.

What is a letter of termination of health coverage? ›

A termination of benefits letter is an explanation from an employer to an employee of any major changes to a benefits package that will result in a loss of insurance coverage or certain benefits.

What is a proof of medical coverage letter? ›

Form 1095-B is used as proof of Minimum Essential Coverage (MEC) when filing your state and/or federal taxes. It should be kept with your other tax information in the event the Internal Revenue Service (IRS) or Franchise Tax Board (FTB) requires you to provide it as proof of your health care coverage.

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