Each QLE type has its own required proof:
QLE Type | Documents | Notes |
Birth | Birth certificate or hospital discharge paperwork | Coverage is typically retroactive to the child’s date of birth. The carrier will update your premiums back to that date and we’ll adjust your allowance and deductions once the new premium is final. |
Adoption | Adoption papers or official placement documents | Coverage is typically retroactive to adoption or placement for adoption |
Marriage | Marriage certificate | Your spouse may also need to provide proof of prior/existing medical coverage |
Divorce | Divorce decree or legal separation paperwork | May require letter of cancellation from previous carrier, showing last date of coverage (each affected person must have their own letter) |
Death | Death certificate or obituary notice |
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Change in residence (new ZIP code or county) | You will need to provide at least 2 documents: Proof of new residence (choose one): Signed lease agreement Deed or purchase agreement Driver’s license or state ID card with new address Utility bill with new address Prison release form Paperwork confirming departure from active military service Proof of prior medical coverage |
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Loss of medical coverage | Termination or separation notice from your employer (if you previously had employer-based coverage) or documentation from your previous plan (for other health plans, COBRA, Medicaid, etc.) | Documentation must show: Termination date People covered Reason for coverage loss (end of employment, ineligible for Medicaid, etc.) |
Change in Thatch eligibility | ICHRA notice (included in your Thatch invitation email and found in the Documents section of your dashboard under Plan Legal Documents) |
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Change in immigration status | One of the following: Green card Certificate of Naturalization I-94 form Valid visa Passport with entry stamp Other government document showing legal status |
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Membership in a federally recognized tribe | Tribal membership documentation |
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Release from incarceration | One of the following:
Official release papers Discharge document Letter from parole or probation officer |
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