With respect to effective dates other than regular effective dates, meaning retroactive or accelerated coverage effective dates resulting from enrollment under
certain special enrollment periods (including birth and marriage), resulting from the resolution of appeals, or resulting from amounts newly due for prior coverage based on issuer corrections of under - billing, we are considering a premium payment deadline of 10 - 15 business days from when the issuer receives the enrollment transaction.
We noted that
certain special enrollment periods in § 155.420 are incorporated into the individual market guaranteed availability regulations at § 147.104 (b) and apply to all issuers offering non-grandfathered individual market coverage, whether through or outside of an Exchange.
Additionally,
certain special enrollment periods in § 155.420 also apply in the SHOPs and are incorporated into the SHOP regulations at § § 155.725 (j) and 156.285 (b).
In an interim final rule with comment published in the May 11, 2016 Federal Register (81 FR 29146) we amended the parameters of
certain special enrollment periods.
In the January 22, 2013 Federal Register (78 FR 4594), we published a proposed rule amending
certain special enrollment periods, including the special enrollment periods described in § 155.420 (d)(3) and (7).
In an interim final rule, published in the May 11, 2016 Federal Register (81 FR 29146), we made amendments to the parameters of
certain special enrollment periods (2016 Interim Final Rule).
With respect to effective dates other than regular effective dates, meaning retroactive or accelerated coverage effective dates resulting from enrollment under
certain special enrollment periods (including birth and marriage), resulting from the resolution of appeals, or resulting from amounts newly due for prior coverage based on issuer corrections of under - billing, we considered a premium payment deadline of 10 - 15 business days from when the issuer receives the enrollment transaction.
Not exact matches
Instead of providing money based solely on
enrollment, districts that use weighted funding formulas attempt to calculate how much it takes to educate a child with
certain needs, such as
special education services or remedial help, and then distribute money to schools based on the numbers of students with those needs.
Qualified higher education expenses also include
certain additional
enrollment and attendant costs of a beneficiary who is a
special needs beneficiary in connection with the beneficiary's
enrollment or attendance at an eligible institution.
This interim final rule with comment establishes provisions that alter the parameters of select
special enrollment periods and that revise
certain rules governing consumer operated and oriented plans (CO-OPs).
Response: With the exception of
certain triggering events specified in § 147.104 (b)(2), which are only relevant to
enrollment in a QHP through the Exchange, the same
special enrollment periods (also referred to as limited open
enrollment periods) apply throughout the individual market, both inside and outside of the Exchange.
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.
A
special enrollment period is triggered by
certain life events such as getting married or divorced, having a baby, losing your job - based health insurance, or moving out of your health plan's service area.
Section § 155.420 (d)(1) establishes a
special enrollment period for qualified individuals who lose
certain types of coverage, including minimum essential coverage.
In § 155.420, we make
certain proposals relating to
special enrollment periods.
Section 147.104 (b)(2) incorporates
certain triggering events for
special enrollment periods described in the Exchange regulations at § 155.420 (d), and applies them to health insurance issuers offering non-grandfathered coverage in the individual market through or outside the Exchange.
If you experience
certain types of life changes — like losing health coverage, getting married, or having a baby — you may qualify for a
Special Enrollment Period to enroll in a Marketplace plan for the rest of 2018.
New Healthcare.gov plan customers may be asked to provide documentation of
certain life events in order to qualify for
special enrollment.
If you are not enrolled in a plan before the Open
Enrollment deadline, you won't be able to purchase an Obamacare plan unless you meet
certain special requirements.
An exception to this rule, triggered by
certain events, is a
special enrollment period.
Special enrollment periods, however, are available if you experience
certain qualifying life events, like involuntary loss of coverage or marriage.
You qualify for a
Special Enrollment Period if you've had
certain life events, including losing health coverage, moving, getting married, having a baby, or adopting a child.
Certain qualifying events trigger a
special enrollment period (SEP) that will let you sign up for a plan on your state's health insurance exchange, or directly through a health insurance carrier in the off - exchange market.
If you experience
certain life changes — like losing health coverage, getting married, or having a baby — you may still be able to enroll in a 2018 Marketplace plan through a
Special Enrollment Period.
Certain changes can trigger a 30 - day
special enrollment opportunity
We are Wisconsin insurance experts who will help you obtain a
special enrollment period any time during the year due if you meet
certain guidelines.
Special Enrollment Periods last for sixty days after
certain life events, such as getting married, having a baby, adopting a baby, losing employer coverage, moving, and so on and so forth.
Folks who did not enroll by February 15, 2015, have to wait until the next open
enrollment period, unless they qualify for a
special enrollment period because they meet
certain conditions.