Valid Waivers

When navigating the complex landscape of health insurance, understanding what constitutes a valid waiver is crucial. Different carriers have specific criteria for what qualifies as a valid waiver, allowing individuals to opt-out of certain group health plans. This guide provides a detailed overview of the valid waiver conditions for various major insurance providers, ensuring that employees and employers alike can make informed decisions about their healthcare options.

Aetna

What is considered a Valid Waiver?

  • Spousal Group Coverage
  • Parental Group Coverage
  • Enrolling as dependent in the group health plan
  • Individual Coverage
  • Medicare
  • Medi-Cal
  • TRICARE

Anthem BlueCross

What is considered a Valid Waiver?

  • Other Group Coverage
  • Individual Coverage
  • Enrolling as dependent in the group health plan
  • Medicare
  • Medi-Cal
  • TRICARE

 

Blue Shield of California

What is considered a Valid Waiver?

  • Other Group Coverage
  • Individual Coverage
  • Medicare
  • Medi-Cal
  • TRICARE

 

CaliforniaChoice

What is considered a Valid Waiver?

  • Other Group Coverage
  • Enrolling as dependent in the group health plan
  • Medicare
  • Medi-Cal
  • TRICARE

 

Health Net

What is considered a Valid Waiver?

  • Other Group Coverage
  • Individual Coverage
  • Enrolling as dependent in the group health plan
  • Medicare
  • Medi-Cal
  • TRICARE

 

Kaiser Permanente

What is considered a Valid Waiver?

  • Other Group Coverage
  • Enrolling as dependent in the group health plan
  • Medicare
  • Medi-Cal
  • TRICARE

 

UnitedHealthcare

What is considered a Valid Waiver?

  • Other Group Coverage
  • Individual Coverage
  • Enrolling as a dependent in a group health plan through a different employer
  • Medicare
  • Medi-Cal
  • TRICARE




This guide has been created as a quick reference and does not replace the full underwriting guidelines published by each carrier
Please refer to the carrier guidelines for additional information

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