Individual Qualifying Event Guidelines



We are now in the Special Enrollment Period of the year. This means you must have a Qualifying Event in order to enroll in a health plan until the next Open Enrollment.

A Qualifying Event is a life changing event that has occurred within the last 60 days. Some examples would be:

  • Newborn child or adoption
  • Marriage or Divorce
  • Loss of coverage due to employment change
  • Recent move into our individual service area
  • Aging off of your parents plan at age 26

For a complete list of Qualifying Events you can also visit our website at

If you qualify, you will need to submit documentation that verifies the event’s occurrence to complete enrollment. Additional documentation may be required depending on the qualifying event.

Most of the time, the effective date is the First of the Month following receipt of Application and Premium. Newborns and Adoptions would typically be the date of birth or finalization of adoption.

If you have questions about Qualifying Events or how to apply, we are here to help you. Call or stop by our office today!

We are located at:
3200 S. National, Bld. B, Springfield, MO 65807
Office hours are Monday through Friday 8:00 A.M. to 5:00 P.M.



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Contact Us

Phone: 417.269.4679
or 800.664.1244
Fax: 417.269.2949

Mailing Address
Cox HealthPlans
PO Box 5750
Springfield, MO 65801-5750

Or visit us at
Cox HealthPlans
Medical Mile Plaza
3200 S. National, Building B
Springfield, MO 65807

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