Special Enrollment

Special Enrollment for Group Members Losing Coverage

Blue Cross and Blue Shield of Oklahoma (BCBSOK) has some options available to help group members who may need coverage support due to COVID-19.

Relaxed Eligibility Requirements
We have relaxed the eligibility requirements for currently enrolled/covered group members through Aug. 31, 2020. You can maintain employees who were enrolled as of March 20, 2020, regardless of the eligibility definition stated in their plan or the BPA. This includes reduced work hours, furlough, leave of absence or layoffs.

You do not need to do anything. No paperwork or email is needed, as we will accept current and accurate eligibility files. This flexibility does NOT apply to those who are newly electing coverage via a special enrollment period.

Special Enrollment Period
Losing coverage due to job loss is one of many qualifying events that allows individuals a special enrollment period to purchase new coverage. Deadlines and limitations apply as usual. Learn more about special enrollment period qualifying events.

Coverage Options
If you have members who will be losing coverage under your group health plan, those members may have several options for alternative coverage.

  • Federal COBRA: Employees losing coverage due to a qualifying event, which can include job loss or a reduction in hours, may have the opportunity to enroll in COBRA coverage to continue their current group health plan.
  • Individual coverage: Anyone can enroll in an individual plan, and some may qualify for financial assistance, depending on their income. View benefit plan options at Selectbcbsok.com.
  • Medicaid plans: Eligibility for Medicaid depends on income and other state requirements. View benefit plan options.
  • Medicare plans: Employees age 65 or older with employer insurance ending may be able to get the medical coverage they need with a Medicare plan. Some employees may have group Medicare plan options and should check with their employer first before enrolling in an individual plan. Learn more about individual Medicare plan options at bcbsok.com/medicare.

We are here to help our customers and our members during this difficult time. Please don’t hesitate to reach out to your producer or account representative with any questions.