Which of the following changes may affect eligibility for an Employee Group Health Plan (EGHP)?

A change in employment status is a critical factor that can significantly impact eligibility for an Employee Group Health Plan (EGHP). When an individual starts or leaves employment, it typically influences their access to the employer-sponsored health insurance plan. For example, when someone is hired full-time, they may become eligible for the group health plan offered by the employer. Conversely, if an employee transitions to part-time status or is terminated, they may lose eligibility for the coverage, as these plans often require specific employment conditions to remain in effect. Thus, changes in employment status directly relate to the structural eligibility criteria of EGHPs.

While changes in income, city of residence, and age may affect an individual’s healthcare needs or financial ability to pay for coverage, they do not necessarily change eligibility for an EGHP directly tied to employment status. The core eligibility for these plans is fundamentally linked to ongoing employment with the employer that provides the health benefits.