This means that injuries that happen 5 days after enrollment and any illnesses that develop 30 days after
enrollment are eligible for coverage (as long as there's no evidence that the illness or injury already existed).
Not exact matches
If you have a Self and Family
enrollment or your spouse
is covered under your Self Plus One
enrollment, your spouse
is eligible to continue
coverage under You have
been separated
for over a year.
Since your pet had the issues you mentioned prior to
enrollment, they
were not
eligible for coverage.
Coverage Restrictions Embrace restricts full accident and illness
coverage based on a pet's age at the time of
enrollment; older pets
are eligible for the accident - only policy, meaning illnesses like cancer would not
be covered.
Your pet would
be eligible for coverage for future cruciate ligament injuries if there had
been no signs / symptoms with either leg before
enrollment or during the 15 day waiting period.
As noted by commenters, non-enrollees may
be determined
eligible for other special
enrollment periods including that
for loss of
coverage.
Now that
coverage is guaranteed - issue in the individual market (just the way it
is for employees who
are eligible for their employer's health plan), the individual market uses open
enrollment and special enrollent periods just like employer - sponsored health insurance.
If you recently lost
coverage, your plan
was terminated, or you moved to a different service area, you
are probably
eligible for an SEP (Special
Enrollment Period) that allows you to qualify
for quality
coverage and choose from all available plans.
(4) A dependent of a qualified employee
is not
eligible for a special
enrollment period if the employer does not extend the offer of
coverage to dependents.
(iii) In the case of a qualified individual or enrollee
eligible for a special
enrollment period as described in paragraph (d)(4), (5), (9), (11), (12), or (13) of this section, the Exchange must ensure that
coverage is effective on an appropriate date based on the circumstances of the special
enrollment period.
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.
Open
enrollment for health insurance doesn't begin again until the end of the year, but you're likely eligible for a plan under a Special Enrollment Period, since a change in health coverage stemming from a divorce is a qualify
enrollment for health insurance doesn't begin again until the end of the year, but you
're likely
eligible for a plan under a Special
Enrollment Period, since a change in health coverage stemming from a divorce is a qualify
Enrollment Period, since a change in health
coverage stemming from a divorce
is a qualifying event.
When you apply
for Marketplace
coverage and qualify
for a Special
Enrollment Period, you may
be asked to provide documents to confirm the events that make you
eligible.
Note: If you voluntarily end your dental
coverage or
are terminated
for not making premium payments, you may not
be eligible to enroll in dental
coverage until the next Open
Enrollment Period.
You may qualify
for a special
enrollment period triggered by loss of other
coverage, and thus
be eligible to enroll as late as Dec. 31
for a Jan. 1 effective date.
If you voluntarily canceled your COBRA
coverage or you lost it because you didn't pay your premiums, you won't
be eligible for a Marketplace special
enrollment.
If your employer offers this benefit, you and your
eligible family members
are eligible to enroll
for these
coverages.1 You just need to enroll during your
Enrollment Period and
be actively at work
for coverage to
be effective.
Some people may
be eligible for special
enrollment periods based on their employment history or other health insurance
coverage they have.
Involuntary loss of
coverage (which includes losing
coverage because you voluntarily quit your job)
is a qualifying event, and makes you
eligible for a special
enrollment period in the individual market, either in the exchange or off - exchange.
And if your 2017 health insurance policy
was not
eligible for renewal because your insurer left the market in your area, you have until March 1, 2018 to pick a new plan, using the special
enrollment period that
's triggered by loss of
coverage (there
are some exceptions to this; some state - run exchanges that mapped these enrollees to new plans did not grant the special
enrollment period)
If you
're not
eligible for 2017
coverage, the Open
Enrollment Period
for a 2018 plan runs from November 1, 2017 to December 15, 2017.
If your employer offers a health plan, you will
be eligible to have guaranteed issue
coverage when you
are eligible for enrollment.
The open
enrollment period
is when the new state insurance exchanges
are open
for business, enabling you to use these online marketplaces to shop
for and buy your
coverage and, if you
're eligible, receive a premium credit to help you reduce the cost.