Use this button to switch between dark and light mode.

HIPAA Special Enrollment Rights

December 13, 2022

This practice note will get you up to speed on special enrollment rules that require employer sponsors of group health plans to allow employees to enroll themselves or their eligible dependents in group health plans upon the occurrence of certain specified events (i.e., outside of the sponsor's open enrollment period). These rules, which apply to plans subject to the Employee Retirement Income Security Act (ERISA), were implemented via the Health Insurance Portability and Accountability Act (HIPAA). Learn about the requirements and conditions necessary for an employee to obtain coverage during a special enrollment period, and the information employers must provide to employees notifying them of their HIPAA special enrollment rights.

Read now »

Related Content

  • HIPAA Request for Accounting of PHI Disclosures
    Use this template for an employer-sponsored group health plan to allow individuals to ask for information about the plan’s disclosures of their protected health information (PHI). Plan participants (and their covered spouses and dependents) have a right to receive this information under the HIPAA Privacy Rule. Although drafted for a group health plan, you can modify this template for use by other types of HIPAA covered entities, including healthcare providers.
  • HIPAA Regulatory Enforcement Tracker
    Monitor enforcement actions taken by, and guidance from, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services regarding compliance with HIPAA rules. This tracker features cases involving precedential interpretations, significant consequences for infringing companies, or both.
  • HIPAA Resource Kit
    Refer to this resource kit for detailed Practical Guidance content—including practice notes, checklists, templates, and clauses—on the application of HIPAA and its impact on employers and the group health plans they sponsor.

Practical Guidance Updates
Featuring the latest updates from your Practical Guidance account.   

Experience results today with practical guidance, legal research, and data-driven insights—all in one place.

Experience Lexis+