As a result,
a new special enrollment period was enacted, running from September 4 to November 2, 2014.
Commenters expressed concern that codifying these special enrollment periods would extend them to both State - based Exchanges and the off - Exchange market and recommended that HHS develop additional methods for handling operational issues outside of creating
new special enrollment periods.
Comment: Several commenters requested that
new special enrollment periods be added, including a special enrollment period for pregnancy or a special enrollment period for qualified individuals who are automatically re-enrolled into a QHP that does not meet their health coverage needs.
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.
Not exact matches
The Centers for Medicare and Medicaid Services (CMS) has issued
new rules that will make it more difficult for consumers to purchase insurance on Obamacare's marketplaces outside of its set
enrollment period (Obamacare allows «
special»
enrollment periods for people who have experienced a major life event).
That fact, coupled with the GOP
enrollment edge in NY - 26 and compressed time
period of the
special election (even with the
new timeline established by Gov. Andrew Cuomo), Corwin is going to have a serious leg up in this race.
Rep. Sean Patrick Maloney is urging the state to investigate Health Republic Insurance of
New York and to create a
special enrollment period for the nearly 200,000 customers who will lose their coverage as a result of the co-op shutting down by the end of the month.
If you begin work at a
new employer that offers such a benefit, you may opt - in during a
special enrollment period.
Moving to a
new zip code also qualifies you for a
special enrollment period.
Response: We believe that the current
special enrollment periods requirements appropriately account for changes in circumstances that necessitate when individuals would need to select a
new or different qualified health plan and balance these needs with the administrative burdens of
enrollment changes for issuers.
Outside of this window, enrollees must be
new to Medicare or experiencing another
Special Enrollment Period.
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.
Response: We are not finalizing
new qualifying events, eliminating current qualifying events, or changing the scope of current qualifying events for
special enrollment periods at this time, but are continuing to study this issue.
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).
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.
However, assuming you meet citizenship requirements, if you move to a
new area, you have approximately 60 days to purchase a qualified Marketplace policy under the «
Special Enrollment Period» exemption.
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.
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.
For example,
New York State allows women to qualify for a
Special Enrollment Period when they get pregnant, while the federal government only counts the birth of a child as a qualifying event.
Moving to a
new zip code also qualifies you for a
special enrollment period.
In the state of
New York, becoming pregnant also qualifies you for a
special enrollment period.
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.
And if you're let go from your job, it triggers a
special enrollment period where you can buy
new health insurance.
Special Enrollment Periods include things like having a baby, losing your job where you had employer - provided health insurance, and moving to a
new zip code where you may need to look for a
new plan.
Young adults can't join a
new plan whenever they want; you must either qualify for a
Special Enrollment Period to join a
new plan or buy a plan during Open
Enrollment.
Outside of the qualifying life events (e.g. having a baby, moving to a
new zip code, etc.) that afford you a
special enrollment period, you typically need to wait until «open
enrollment» to change things up.
Even though open
enrollment is over, your move to a
new state qualifies you to shop for policies under the «
special enrollment»
period.
When loss of coverage triggers the
special enrollment period, the
new plan is effective the first of the month following the month when you enroll.
People who have individual market coverage in force on the day before their
new individual market plan is to take effect would not be subject to the six - month waiting
period, even if they had a gap in coverage during the prior year (for example, a person who enrolls during open
enrollment, subject to a six - month waiting
period, and then experiences a qualifying event soon after the
new plan takes effect, would be able to switch to a
new plan during the ensuing
special enrollment period with no waiting
period, even if her previous gap in coverage was still within the last 12 months).
Anyone eligible for a
Special Enrollment Period can select a
new plan if they want to.
If you experience a qualifying life event, you can take advantage of a
special enrollment period to make changes to your individual health plan or buy a
new one.
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.
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.
And although a permanent move to a
new area (where different health plans are available) is a qualifying event, it only triggers a
special enrollment period if you already had coverage prior to the move.
If you sign up during a
special enrollment period, you may switch to a
new plan during the following annual open
enrollment period.
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)
And if your insurer is exiting the market at the end of 2017, you've got a
special enrollment period during which you can pick a
new plan.
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.
New York passed a law this year that allows the beginning of a pregnancy to act as a qualifying event for a
Special Enrollment Period.