---
title: "How to Add a Newborn to Your Insurance: A Guide for Ministry Families"
description: Learn how to add your newborn to your insurance, when the 30-day enrollment window closes, and what to do first. A guide for ministry families.
image: https://blog.reformedbenefits.org/hubfs/Newborn%20to%20health%20insurance.jpg
---

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# How to Add a Newborn to Your Insurance: A Guide for Ministry Families

By

[Nikki Huttenga](https://blog.reformedbenefits.org/author/nikki-huttenga)

Snuggled up with your newborn, everything feels perfect and peaceful (Even though sleep may be a little hard to come by. Your baby is clearly the boss now). Insurance is the last thing on your mind, as it should be.

For the past month, bills from your birth have been covered by your health plan. It’s been seamless. No forms, no calls, no second thought.

But if you find yourself taking your baby in for a visit to the doctor, will that visit be covered?

The answer depends on one important action that you need to take in the first 30 days after birth.

## Is Your Newborn Covered Under Your Insurance Right Away?

Federal law protects the hospital stay, yes, but continuing coverage depends on enrolling your baby.

All group health insurance plans that offer maternity coverage are required by the [Newborns’ and Mothers’ Health Protection Act of 1996 (Newborns’ Act)](https://www.dol.gov/node/25148) to provide coverage for at least 48 hours after birth. For C-sections, coverage expands to 96 hours.

An important note is that even this minimal amount of coverage is [not legally guaranteed for those on health sharing plans](https://blog.reformedbenefits.org/health-insurance-versus-health-sharing). Faith-based plans are healthcare sharing ministries. They are not insurance, which allows them to choose whether to help with a bill at all.

However, beyond the hospital stay, federal law requires group insurance plans to let you enroll a baby within 30 days of birth. When you do, coverage reaches back to the day they were born. Think of it as your baby's 30-day clock, started the moment they're born, and it's ticking whether you've noticed it or not.

But what happens next?

## When to Add Your Newborn to Your Insurance: Why There’s a Deadline

![babys-30-day-clock-add-newborn-health-insurance](https://blog.reformedbenefits.org/hs-fs/hubfs/babys-30-day-clock-add-newborn-health-insurance.png?width=1000&height=550&name=babys-30-day-clock-add-newborn-health-insurance.png)

This is where it gets easy to let your guard down. Your baby's 30-day clock is already running, and once it hits zero, without enrollment it’s very likely they have no coverage at all. Any appointments, tests, checkups or procedures for your child come out of pocket.

Unless you add your baby to your health plan.

Adding a baby to your health insurance falls under what's officially called a “qualifying life event.” It’s the same category that covers marriage, divorce, adoption, or losing other coverage. A birth triggers this status automatically, so there’s no action needed to qualify. But qualifying isn't the same as being enrolled.

Once a qualifying life event occurs, it opens what's called a special enrollment period. This is a window of time outside your plan's normal annual enrollment during which you're allowed to add or change coverage.

For births, adoptions, and placements for adoption, HIPAA guarantees group health plans offer this window for at least 30 days. The qualifying event allows you to enroll your child. The special enrollment period is how long you have to do it.

**Note:** Understanding insurance language helps if you're reading your plan document or a benefits notice, since this is the legal terminology they'll use to describe the process and the deadline. For more, check out the [glossary of health insurance](https://blog.reformedbenefits.org/healthcare-insurance-terminology-simple-your-healthcare-insurance-glossary) terms.

## How Do You Add a Newborn to Your Insurance?

Most people working within a ministry don’t have an HR department. And it may feel daunting to have to work through your insurance on your own. But most plans will have a membership portal that allows you to easily make the changes yourself.

In general, here are the steps you take:

1. **Check your plan’s enrollment process**. Find out where and how to submit your information along with the documentation the insurer needs. This is also a good time to become familiar with important deadlines.
   
   Understanding the layout and flow of your online membership portal before your child is born saves you stress and anxiety later.
2. **Gather the basic information**. Most enrollment processes will need the date of birth, child’s name, and relationship to you. They may also ask for your [child's Social Security number (SSN).](https://www.ssa.gov/pubs/EN-05-10023.pdf)
3. **Submit as much as you can, even if you are missing documents.** Birth certificates and an SSN can take weeks, and sometimes longer, to arrive. Don’t let that stop you from submitting an enrollment request.
   
   In this case, it is submitting the initial information that matters. You can send in documentation as you get it.
4. **Confirm the enrollment went through.** Don’t assume that silence means everything went through okay. Adding your baby to your health insurance is important, so check your plan through your membership portal to ensure your newborn is now covered.

**Here's the part that should put your mind at ease:** if you enroll within your plan's window, coverage applies retroactively to your baby's date of birth, not the date you submitted the form. A baby enrolled on day 25 is still covered from day one. There is no gap, even if the paperwork took a while to catch up.

## What Happens If You Don’t Add Your Baby to Insurance in 30 Days?

If the baby's 30-day clock runs out before you've submitted, the retroactive coverage we just talked about goes away. You’ll be responsible for medical bills from the previous month, along with any future charges until you can get your child enrolled into your plan.

**It also means you typically would need to wait for one of two things:** your next open enrollment period or another qualifying life event.

That could leave you without coverage for well-baby visits, vaccines, or anything beyond. According to [Peterson-KFF research](https://www.healthsystemtracker.org/brief/health-costs-associated-with-pregnancy-childbirth-and-postpartum-care/), the average infant under three months old has about $5,820 in total health care costs. With insurance, this leaves an average of roughly $475 to be paid out of pocket. Without coverage, that $475 could become the full $5,820, or more.

If you've missed the deadline by only a few days, it's still worth contacting your plan administrator right away. Some plans have discretion to accept a late enrollment, especially close to the deadline. But this isn't guaranteed and varies by plan. The sooner you reach out, the more options you're likely to have.

## For Ministry Families Specifically

Most workplaces have someone whose job is to catch a deadline like this. An HR rep flags it, sends the reminder, walks you through the form. However, many churches don't have that safety net. Often, the person managing your benefits is also the person who just became a parent, trying to remember a form while running on no sleep.

Checking your plan's enrollment process before the baby arrives means your baby's 30-day clock never catches you off guard. You'll already know what to do and by when, instead of figuring it out at 2 a.m. with a newborn on your chest.

## Ready for your next step?

**RBA members:** Confirm your enrollment window and submit your newborn's enrollment through the[bswift portal](https://secure.bswift.com/default.aspx?abbrev=reformedbenefits).

**Not an RBA member yet?** If moments like this make you wonder whether your church's current health plan is actually serving your staff well, try [RBA's Church Health Insurance Assessment Tool](https://reformedbenefits.org/church-health-insurance-assessment-tool/) to see how your coverage compares.

---

*The content contained in this blog is for informational purposes only.* 

- <https://blog.reformedbenefits.org/the-real-cost-of-cheap-health-insurance-what-ministers-need-to-know>
  
  ### Next Post The Real Cost of "Cheap" Health Insurance: What Ministers Need to Know

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