An individual under par. (b) 2., or an individual who is an unborn child or an unborn child’s mother under par. (c) 2., is not ineligible if any of the following good cause reasons is the reason that the individual did not obtain the health insurance coverage under par. (b) 1. to which they had access: a.
(a)#
The individual’s employment ended.
(b)#
The individual’s employer discontinued health insurance coverage for all employees.
(c)#
One or more members of the individual’s family were eligible for other health insurance coverage or Medical Assistance under s. 49.46 or 49.47 at the time the employee failed to enroll in the health insurance coverage under par. (b) 1. and no member of the family was eligible for coverage under this section at that time or, if one or more members of the individual’s family were eligible for coverage under this section at that time, family income did not exceed 150 percent of the poverty line or the individual qualified for a medical assistance eligibility extension as provided in sub. (4) (a) 7.
(d)#
The individual’s access to health insurance coverage has ended due to the death or change in marital status of the subscriber.
(dg)#
The insurance is owned by someone not residing with the family and continuation of the coverage is beyond the family’s control.
(dr)#
The insurance only covers services provided in a service area that is beyond a reasonable driving distance.
(e)#
Any other reason that the department determines is a good cause reason.