Jeffrey Johnson is a legal writer with a focus on personal injury. He has worked on personal injury and sovereign immunity litigation in addition to experience in family, estate, and criminal law. He earned a J.D. from the University of Baltimore and has worked in legal offices and non-profits in Maryland, Texas, and North Carolina. He has also earned an MFA in screenwriting from Chapman Univer...

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UPDATED: Sep 15, 2020

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Group coverage: Generally within 30 days of the marriage on a group (or at a later open enrollment if you miss the date cut-off). Group coverage allows a very few “triggering events” for coverage outside of the normal open enrollment period, and a new marriage is one of those events. (Loss of medical coverage previously available from a spouse’s group plan is another trigger.) The spouse and step-children (if they live with you and have become your IRS dependents) can be added within 30 days of the event. If you miss that window, you will generally need to wait until open enrollment. Do not let your spouse drop any existing coverage until approved on the new plan.

Individual coverage: State laws vary for individual coverage, but you can apply immediately after the marriage. Medical underwriting may be required for individual coverage in some States. Prior to marriage, add to your “to do” list a new analysis of your coverage, and your future spouse’s coverage, and know in advance which plan will best suit your growing family.