If you or one of your dependents experience a qualifying life event, which affects your eligibility or your dependent's eligibility to receive health benefits under your health plan, it's your responsibility to provide written notice within 31 days of the event or change.
If you have an On Exchange Individual plan, please contact the Federal Facilitated Marketplace at 1-800-318-2596. If you have an Off Exchange Individual plan, simply complete a membership change form and mail it to: Health Plan of Nevada, P.O. Box 749546, Los Angeles, CA 90074-9546.
Group health plan members (those who receive health insurance coverage through their employer) should fill out a change form request and give it to their employer. The employer will submit it to the company's Group Services representative.
Common life/family events may include but are not limited to:
Common employment status changes may include but are not limited to:
If proper notice is not provided, which would have resulted in termination of coverage, Health Plan of Nevada shall have the right to terminate coverage.