Sentences with phrase «special enrollment period eligibility»

Learn how to confirm Special Enrollment Period eligibility.

Get more information on confirming your Special Enrollment Period eligibility, including which documents you can submit

Your Special Enrollment Period eligibility has passed.

There are a variety of reasons for this, including the fact that the ACA's individual mandate penalty is not particularly enforceable, and the fact that special enrollment period eligibility has been somewhat lax; there's no single reason for the lower - than - expected number of healthy enrollees.

To aid in verification of special enrollment period eligibility, one issuer suggested implementing an online directory for issuers of consumers who have been terminated due to nonpayment of premiums.

We recognize the importance of providing clarity about how an Exchange may verify a consumer's eligibility for a special enrollment period, as well as about how the FFE plans to verify special enrollment period eligibility through its pre-enrollment pilot.

It's important to note that HHS began ramping up enforcement of special enrollment period eligibility in 2016, amid concerns that enforcement had previously been too lax.

Not exact matches

We note that for purposes of determining eligibility for this special enrollment period, an individual's percentage of the FPL is a function of household income, composition and size; therefore, individuals who gain eligibility because of a change in income or a change in household composition will be eligible for this special enrollment period.

The qualifying events that trigger special enrollment periods are the same as they were in 2017, although there's an increased focus on verifying eligibility for special enrollment periods, so be prepared to provide proof of your qualifying event.

In response to our request for comment and data to assess whether special enrollment periods are being abused and to minimize potential misuse and abuse of special enrollment periods, commenters expressed strong support for the Exchange to take actions to verify consumer eligibility for special enrollment periods moving forward, including requesting documentation supporting consumers» eligibility for special enrollment periods.

Therefore, HHS will provide issuers with suggested special enrollment period language that they could use in their existing consumer notices to satisfy the requirement that they notify enrollees of their eligibility for a special enrollment period.

Specifically, we made a necessary addition in paragraph (d)(7)(ii) to maintain eligibility for a special enrollment period for individuals previously living outside of the United States or in a United States territory who move to a location within the United States, so long as they seek to enroll in coverage within 60 days of completing their permanent move.

We amended the eligibility parameters for this special enrollment period by adding requirements in § 155.420 (d)(7)(i) and (ii).

Individuals who become newly ineligible for APTC or who have a change in eligibility for cost - sharing reductions as described in paragraphs (d)(6)(i) and (ii) will continue to qualify for a special enrollment period to enroll in individual market coverage through or outside of an Exchange.

In 2016, we added warnings on HealthCare.gov about inappropriate use of special enrollment periods, eliminated special enrollment periods that are no longer needed as the Exchanges mature, and tightened eligibility rules for special enrollment periods.

Response: We appreciate the ideas and recommendations shared by commenters about anticipated impacts of an eligibility verification for special enrollment periods and how HHS may reduce possible misuse and abuse of special enrollment periods, while continuing to strengthen risk pools.

Some commenters supported more clearly defining the eligibility parameters of existing special enrollment periods, as well as the consequences for inappropriately utilizing a special enrollment period to enroll in coverage.

In addition, as discussed in the 2017 Payment Notice, we are conducting an assessment of QHP enrollments that were made through special enrollment periods in the FFEs to ensure that consumers» eligibility for these special enrollment periods were properly determined.

One commenter requested restricting the eligibility of the special enrollment period for gaining access to new QHPs as a result of a permanent move to only consumers who were previously enrolled in other minimum essential coverage, and only allowing the new dependent to enroll in or change his or her enrollment into a new QHP under the special enrollment period described in paragraph (d)(2).

Furthermore, consistent with similar exclusions under the marketwide regulations for Exchange - specific special enrollment periods, we are also clarifying that the triggering event described at § 155.420 (d)(6) will not create a special enrollment period to enroll outside the Exchange to the extent it concerns an individual who becomes newly eligible for APTC or who has a change in eligibility for cost - sharing reductions other than a total elimination of eligibility, since financial assistance is only available for coverage purchased through an Exchange.

Several commenters requested that the Exchange require consumers to submit documentation to either the Exchange or issuers to verify their eligibility for a special enrollment period.

If the proposed changes are finalized, SHOPs that use the new flexibilities, such as the FF - SHOPs, would no longer have the information required to determine employer group members» eligibility for special enrollment periods.

In addition, we introduced a Special Enrollment Confirmation Process under which consumers enrolling through the most common special enrollment periods are directed to provide documentation to confirm their eligibility for their special enrollment Special Enrollment Confirmation Process under which consumers enrolling through the most common special enrollment periods are directed to provide documentation to confirm their eligibility for their special enrollmeEnrollment Confirmation Process under which consumers enrolling through the most common special enrollment periods are directed to provide documentation to confirm their eligibility for their special enrollment special enrollment periods are directed to provide documentation to confirm their eligibility for their special enrollmeenrollment periods are directed to provide documentation to confirm their eligibility for their special enrollment special enrollmentenrollment period.

Commenters also suggested that improved data collection could also be used to curb possible misuse of special enrollment periods, in addition to expanding the Exchanges» use of electronic data sources, and improving education efforts to make sure all stakeholders understand the eligibility criteria for all special enrollment periods.

More specifically, if you lose your job - based coverage, lose eligibility for Medicaid, CHIP, or Medicare, lose coverage through a family member, or lose individual coverage, you could qualify for a Special Enrollment Period.

The Marketplace may ask you for documents to confirm information on your application — your income, citizenship, or immigration status, or Special Enrollment Period (SEP) eligibility, like if you moved or lost other health coverage.

But enrollment in Obamacare plans is only available during the annual open enrollment or if you meet the eligibility criteria for a limited special enrollment period.

If your new eligibility results show that you qualify for a Special Enrollment Period, you can then shop for plans and enroll in a different one.

Continuously until age 31, upon proof of eligibility, subject to open and special enrollment period limitations.

Note: If you're asked to confirm your eligibility for a Special Enrollment Period, such as a move or loss of coverage, the process is different.

If you lose your COBRA health insurance because your COBRA eligibility period of 18 - 36 months expired, you're eligible for a 60 - day special enrollment period on the Marketplace (the same as the eligibility period that applied when you were initially eligible for COBRA).

What should I do if I get a notice asking me for documents to verify something on my application (like my income), or my eligibility for a Special Enrollment Period?

HealthCare.gov and many of the state - run exchanges have stepped - up eligibility verification for special enrollment periods, so be prepared to provide proof of your qualifying event.

If you have signed up with a special enrollment period, you might be familiar with the feeling of being interrogated by an insurance company, asking for proof of your prior policy termination and any other documents proving your eligibility.

Changes include different dates for the annual Individual and Family Health Insurance Open Enrollment Period, stricter Special Enrollment eligibility rules including requirements to provide proof of prior coverage.

Health Insurance Companies issue short term plans much more quickly than long term major medical plans, and they can be purchased at any time of year, regardless of your eligibility for a Special Enrollment Period.