Even though dependents may
access special enrollment periods based on different qualifying events, when they qualify for a special enrollment period to newly enroll in Exchange coverage, regardless of whether it is a special enrollment period due to gaining or becoming a dependent or due to a loss of minimum essential coverage, we believe they should be treated alike.
The addition of paragraph (i) required further amendments to the rule to maintain the availability of the permanent move special enrollment period for certain other individuals who should continue to be able to
access this special enrollment period without the requirement of being previously enrolled in minimum essential coverage.
Not exact matches
If
enrollment for rural schools declines further, it will only increase the challenge of providing federally mandated programs for students in
special education, English - language instruction, and ensuring students have
access to school personnel and curriculum.
Based on member feedback, we provided a webinar to help our schools understand how to get
access to the Charter School Expansion Act (CSEA) grant, which is intended to address
special education
enrollment discrepancies
By centralizing and monitoring
enrollment, students with
special needs are now guaranteed equal
access to the school of their choice.
[68] Commenters raised concern that by amending this
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enrollment period, HHS is restricting
access to a
special enrollment period prior to sharing evidence of misuse or abuse.
We also agree that consumers who experience these qualifying events should have
access to the same
special enrollment periods, regardless of the State that they live in.
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).
In this final rule, we finalize a number of amendments to
special enrollment periods for individuals who gain
access to new QHPs as a result of a permanent move so that this
special enrollment period is generally available only to those individuals who had minimum essential coverage prior to their permanent move.
If those plans terminate, the insured has
access to a
special enrollment period.
Commenters appreciated the transparency of adding these
special enrollment periods to regulation, so that consumers, regardless of the State in which they live, have
access to the same
special enrollment periods, and that all individuals involved in
enrollment assistance have a better understanding of the
special enrollment periods that are available.
Comment: Commenters expressed strong support for codifying the
special enrollment period for dependents of Indians in paragraph (d)(8)(ii), so that mixed status Indian families may have
access to the same
special enrollment periods regardless of the State in which they live.
But if you take COBRA, you no longer have
access to a
special enrollment period in the individual market (through the exchange or off - exchange).
The event that is causing you to lose
access to your employer - sponsored plan will also trigger a time - limited
special enrollment period on your Affordable Care Act health insurance exchange (or for an ACA - compliant plan offered outside the exchange).
In that case, you'll have
access to a
special enrollment period during which you can pick a new plan, triggered by loss of coverage, which is a qualifying event.
You and your family may qualify for an exemption from the mandate if the employer coverage is considered «unaffordable», which allows you
access to more coverage options and
special enrollment periods.