How do I transition from ICHRA coverage to my spouse’s insurance plan?
Transitioning from an Individual Coverage Health Reimbursement Arrangement (ICHRA) plan to your spouse's insurance plan involves several steps to ensure a smooth changeover. Outlined below are the key actions you need to take:
Step 1: Notify Relevant Parties
Inform your HR/benefits administrator or Take Command Health that you will be switching to your spouse’s group insurance plan. Provide the effective date of the new insurance to help coordinate the transition.
Submit proof of the new coverage if requested. Acceptable documents may include an insurance card or a letter confirming eligibility/coverage.
Step 2: Cancel Your Current Insurance Plan
Contact your current insurance provider directly to cancel your policy. Update them with your cancellation date to prevent billing issues.
Note: Updating only in the Take Command portal does not cancel your insurance policy. Ensure direct confirmation with your provider.
Step 3: Waive ICHRA Coverage
Log into your Take Command Health member portal and complete the waiver process. This can typically be done during onboarding or re-enrollment by selecting the option to waive ICHRA benefits for the year.
Employers can also submit the waiver form on behalf of employees, ensuring all formalities are completed and signed agreements are retained.
Step 4: Confirm Benefit Termination and Account Updates
Notify Take Command Health once the cancellation is processed so they can update their systems and reset your account status.
If applicable, cancel any recurring premium claims set up in the Take Command portal to avoid discrepancies in reimbursement records.
Step 5: Handle Remaining ICHRA Funds and Claims
Use any remaining ICHRA funds for eligible expenses before closing the account. Claims for expenses incurred after coverage ends cannot be reimbursed, but you may submit claims for pre-transition expenses within the allowed timeframe.
Special Notes on Employment Status
Do not terminate your employment in the Take Command portal unless you are also leaving the company. Instead, waive benefits and indicate changes through the Qualifying Life Event (QLE) section in your dashboard if needed. This ensures that your employer is not incorrectly billed.
FAQs
1. What if my spouse’s group plan is optional?
If you choose to remain on individual market coverage instead of joining your spouse's group insurance plan, no further changes are needed, and you can continue with ICHRA benefits.
2. Who bears the responsibility for submitting waiver forms?
While employees can waive ICHRA coverage through their portal, employers may also assist by submitting the forms on their behalf, including all necessary documentation.
3. How can I avoid timing gaps during the transition?
Coordinate the effective dates of the new insurance, cancellation of old plans, and waiver submission to ensure seamless coverage.
By following these steps and consulting your employer or Take Command Health for clarification, you can successfully transition to your spouse's insurance plan without disrupting your healthcare coverage.