Creditable & Non-Creditable Waiver Reasons

During Open Enrollment, your employees may choose to waive coverage. If they do, they must select a waiver reason. Some of these reasons are creditable and some are not. Non-creditable waiver reasons will count against your minimum participation. If your group falls below minimum participation, you must work with Customer Success to determine your path forward.

Creditable Selections

  • Covered by spouse
  • Medicare
  • Cobra
  • Covered by parent

Non-Creditable Selections

  • Other

If an employee selects "other", Customer Success will reach out to determine if the reason is actually creditable and will adjust your minimum participation accordingly.

The following reasons are considered creditable, even though they are less common and therefore aren't available as selections. 

  • Medicaid
  • Covered by individual health insurance
  • Other group coverage
  • Indian Health Service
  • Student health insurance
  • Federal Employees Health Benefits Program
  • The Peace Corps
  • Public Health Plan (any plan established or maintained by a State, the U.S. government, a foreign country)
  • Children’s Health Insurance Program (CHIP)
  • State health insurance high-risk pool

Have questions or feedback? Our Admin Resource Center is available 24/7. You can also reach our Admin Support Team at or (940) 340-4488 Monday through Friday during normal business hours. If you have a dedicated Customer Success Manager, feel free to reach out to them directly.