Frequently Asked Questions

Looking for an Individual & Family Health Insurance Plan for your client but have questions? Here are some common questions asked about our Individual and Family plans.

Can I enroll a client mid-year if they do not have a Qualifying Life Event?

No. If a new enrollee does not have a Qualifying Life Event within the last 60 days they are not able to enroll until the designated open enrollment period, November 1 – January 15

How do I enroll a member?

Enrolling members through Nevada Health Link through your broker portal: here   For members enrolling in a plan outside of Nevada Health Link you would enroll them through your Salesforce portal here

What is a Qualifying Life Event (QLE) and how does that determine when I can enroll?

Qualifying Life Events include:

  • Involuntary loss of coverage
  • Failure to pay premiums that result in a loss of coverage is not considered involuntary
  • Birth
  • Adoption
  • Permanent legal guardianship of a child
  • Marriage
  • Move to the geographic service area

When your client experiences a Qualifying Life Event, they are required to enroll within 60 days of the Qualifying Event.  Failure to enroll within 60 days of the Qualifying Life Event will result in not having coverage.

When is payment due for Individual and Family Policies for a plan purchased outside of Nevada Health Link

Payment is due on the 1st of each month with a 31-day grace period.

When is payment due for Individual and Family Policies for a plan purchased through Nevada Health Link?

Payment is due on the 1st of each month.

When I enroll a member will they be able to change plans?

Yes, at annual open enrollment (November 1-December 31st). Plan changes will be effective on January 1.  Plan changes submitted January 1st-January 15th will have a February 1st effective date.

If my client wants to keep their plan, can they?

Each year we adjust our benefits and premiums.  During the open enrollment period (November 1-January 15th) your client will have the opportunity to change plans. If they do nothing, their plan will be mapped to the closest plan for the next calendar year.

Who can I call if I have questions?

You can contact the following:

We offer monthly virtual training for brokers with our Individual and Family products. Training sessions are announced in our monthly broker newsletter with a link to RSVP as well as on the home page of your Salesforce broker portal.

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