Sentences with phrase «existing special enrollment»

By codifying these, we seek to ensure that these existing special enrollment periods are applied consistently across Exchanges, and to provide both issuers and consumers with greater certainty in how these special enrollment periods are applied.

Other commenters requested the expansion of existing special enrollment periods, including adding provider network and drug formulary errors to the special enrollment period for plan or benefit display errors under paragraph (d)(4) of this section, allowing dependents of Indians to enroll in or change enrollments along with the Indian through the special enrollment period in paragraph (d)(8) of this section, and allowing for a retroactive coverage start date for consumers who qualify for the special enrollment period due to a loss of minimum essential coverage in paragraph (d)(1) of this section.

Comment: The majority of commenters supported our proposal to codify the existing special enrollment periods for (1) dependents of Indians on the same application as the Indian at § 155.420 (d)(8)(ii); (2) victims of domestic abuse or spousal abandonment at § 155.420 (d)(10); (3) Medicaid or CHIP denials at § 155.420 (d)(11); (4) material plan or benefit display errors at § 155.420 (d)(12); and (5) data matching issues that are cleared post-expiration of an inconsistency period or individuals who are verified through the data matching process to meet the citizenship, national, or immigration criteria described in section 1401 (c)(1)(A)(ii) of the Affordable Care Act at § 155.420 (d)(13).

Conversely, other commenters expressed concern about the elimination or limitation of existing special enrollment periods without documented proof of abuse.

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.

We stated in the proposed rule that we had heard concerns regarding abuse of special enrollment periods, and we sought comments and data regarding existing special enrollment periods.

For the amendments at § 155.420, we considered not codifying the existing special enrollment periods for consumers who are or were victims of domestic abuse or spousal abandonment and need to enroll in coverage apart from their abusers or abandoners, have been determined ineligible for Medicaid or CHIP, have been impacted by a material plan or benefit display error, or have resolved a citizenship or immigration inconsistency post-expiration, all currently provided through guidance.

Not exact matches

Although loss of existing minimum essential coverage is a qualifying event that triggers a special open enrollment period for ACA - compliant plans, short - term policies are not considered minimum essential coverage, so the loss of short - term coverage is not a qualifying event.

The special enrollment period triggered by loss of coverage begins 60 days before your existing plan's termination date, so it's possible to get a new ACA - compliant plan without any gap in coverage.

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.

In addition, we do not anticipate that any of the amendments to the existing parameters of special enrollment periods will reduce their availability to those individuals who should qualify under the provision's original intent.

Special enrollment periods, a longstanding feature of employer - sponsored coverage, exist to ensure that people who lose health insurance during the year, or who experience other qualifying events, have the opportunity to enroll in coverage.

These commenters expressed concern that some of the proposed special enrollment periods are no longer needed or that individuals who might qualify for one of these special enrollment periods may also qualify for another special enrollment period that already exists in regulation.

All of these changes reflect existing FFE practice in implementing special enrollment periods authorized by the Affordable Care Act and existing regulations, and do not create new special enrollment periods for consumers.

From November 1, 2017 through December 15, 2017 will be the only time you can view new health insurance plans for 2018, enroll in health insurance, and make changes to your existing family or individual insurance plans for 2018, unless you qualify for a Special Enrollment Period.

«Special Enrollment Periods» (SEP) continue to be available if you lose existing qualified coverage through an employer, by moving to a different area, from a divorce, having a baby, and several other scenarios.

If you lost your existing coverage and qualify for a Special Enrollment Period, you have 60 days from the event to buy a new health insurance plan.

If you don't sign your baby up for health insurance within 30 days — by adding them to your existing plan, changing your plan with your existing carrier, or shopping for a new plan — you could face a penalty for not having health insurance and will pay for medical costs out of pocket, with one caveat: giving birth qualifies you for a Special Enrollment Period under the Affordable Care Act.

Any major change in your life that causes you to lose your existing health coverage or changes your household size or your residence could qualify you for a Special Enrollment Period.

Note that although qualifying events and special enrollment periods in the individual market are similar to those that have long existed for employer - sponsored plans, they are not identical.

If you already have insurance, this special enrollment period allows you to make changes to your existing plan, such as adding your child.

However, we propose to continue to keep effective dates for special enrollment periods standardized to ensure a minimum standard for special enrollment periods and because there are existing mechanisms within § 155.420 (b) for a SHOP to achieve earlier effective dates for special enrollment periods.

If you lose coverage under your existing health plan or need to change coverage due to specific life events, you have rights to special enrollment in a new plan outside of the usual open enrollment period.

Likewise, if the situation that qualified you for the hardship exemption ceases to exist, for example, you're no longer homeless, you'll be eligible for a special enrollment period to sign up for health insurance.

Special enrollment periods are usually triggered when you lose your existing health insurance or have a change in family size.

They may be able to add you to an existing Marketplace plan through a Special Enrollment Period, as long as you're under 26.

The Open Enrollment Period and Special Enrollment Periods exist in order to enforce the health insurance mandate.