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Yes they can and they may have to in order for the insurer to allow your spouse to be added. Spouses can be added to a group plan during open or annual enrollment, or when certain changes happen such as the spouse loses a job. You can't simply add a spouse at a whim.

By paying the four months premiums, you are effectively adding your spouse when you would have been allowed to.

The insurer is trying to protect itself against people joining the plan when they have a medical expense to pay, and then dropping out when they recover.

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Q: Can an employer retro payroll deduction for health insurance because you did not add your spouse for 4 months?
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