Sentences with phrase «other special enrollment»

To qualify, you must have moved from Puerto Rico or the U.S. Virgin Islands to a state that uses HealthCare.gov to enroll in coverage, and been unable to enroll in coverage during the 2018 Open Enrollment Period or any other Special Enrollment Period.
Section 1311 (c)(6)(C) of the Affordable Care Act directs the Secretary of HHS to require an Exchange to provide for special enrollment periods specified in section 9801 of the Code and other special enrollment periods under circumstances similar to such periods under part D of title XVIII of the Act.
As noted by commenters, non-enrollees may be determined eligible for other special enrollment periods including that for loss of coverage.
Another commenter requested that no special enrollment period be given for death as other special enrollment periods likely apply.

Not exact matches

The current state law says that towns, under the state's so - called «minimum budget requirement,» can not spend less money on public education than was spent during the previous year — unless special circumstances such as a sudden drop in enrollment or other problems.
Justice Kennedy offered what he regarded as acceptable methods of considering race such as «strategic site selection of new schools; drawing attendance zones with general recognition of the demographics of neighborhoods; allocating resources for special programs; recruiting students and faculty in a targeted fashion; and tracking enrollments, performance, and other statistics by race.»
In other words, special education enrollment is complicated, for both charter and traditional public schools.
Moreover, the early deadline for schools with special entrance requirements — in December of the year before enrollment, two months before other Main Round applications are due — requires early awareness that may disadvantage all but the most well - informed or socially connected parents.
Such measures may include strategic site selection of new schools; drawing attendance zones with general recognition of neighborhood demographics; allocating resources for special programs; recruiting students and faculty in a targeted fashion; and tracking enrollments, performance, and other statistics by race.
The problem is, when lawmakers become concerned about this issue, their instinct is to pass quotas or other special ed enrollment targets for charters, to ensure a «fair share» of students are being served.
Should charters be held to enrollment standards that other schools can not meet, while districts continue to practice questionable policies such as the warehousing of special need students in select placements (while often failing to follow - though on their obligations for services, we might add)?
Across Massachusetts, students with special needs made up 14 percent of the enrollment at all charter schools in 2015, compared with 16 percent at all other public schools, according to state data.
(Wash.) A second study on enrollment trends in a major metropolitan area further absolves charter schools from complaints they systematically exclude too many special education students through admission or other academic policies.
(e) The board shall establish the information needed in an application for the approval of a charter school; provided that the application shall include, but not be limited to, a description of: (i) the mission, purpose, innovation and specialized focus of the proposed charter school; (ii) the innovative methods to be used in the charter school and how they differ from the district or districts from which the charter school is expected to enroll students; (iii) the organization of the school by ages of students or grades to be taught, an estimate of the total enrollment of the school and the district or districts from which the school will enroll students; (iv) the method for admission to the charter school; (v) the educational program, instructional methodology and services to be offered to students, including research on how the proposed program may improve the academic performance of the subgroups listed in the recruitment and retention plan; (vi) the school's capacity to address the particular needs of limited English - proficient students, if applicable, to learn English and learn content matter, including the employment of staff that meets the criteria established by the department; (vii) how the school shall involve parents as partners in the education of their children; (viii) the school governance and bylaws; (ix) a proposed arrangement or contract with an organization that shall manage or operate the school, including any proposed or agreed upon payments to such organization; (x) the financial plan for the operation of the school; (xi) the provision of school facilities and pupil transportation; (xii) the number and qualifications of teachers and administrators to be employed; (xiii) procedures for evaluation and professional development for teachers and administrators; (xiv) a statement of equal educational opportunity which shall state that charter schools shall be open to all students, on a space available basis, and shall not discriminate on the basis of race, color, national origin, creed, sex, gender identity, ethnicity, sexual orientation, mental or physical disability, age, ancestry, athletic performance, special need, proficiency in the English language or academic achievement; (xv) a student recruitment and retention plan, including deliberate, specific strategies the school will use to ensure the provision of equal educational opportunity as stated in clause (xiv) and to attract, enroll and retain a student population that, when compared to students in similar grades in schools from which the charter school is expected to enroll students, contains a comparable academic and demographic profile; and (xvi) plans for disseminating successes and innovations of the charter school to other non-charter public schools.
Gifted programming can be provided in a combination of ways, including pull - out programs; special classes in a subject or interest area; special state schools (e.g., Indiana Academy for Science, Mathematics, and Humanities) or local magnet schools; afterschool, Saturday, or summer programs; Advanced Placement, International Baccaleaureate, or other dual - enrollment courses; distance learning; and other similar services.
I will cover some of these materials below, but in sum the changes in relation to Special Education and English Language Learners mostly concern schedules and professional development; the revised budget and enrollment model call for a slightly smaller school, lower (lead) teacher / student ratios, higher special education teacher ratios (and lower special education assistant ratios), designates Bilingual Resource Teacher and Specialist allocations (these were folded into other categories in the January version), a slightly smaller school, and a 5 year budget shortfall that increases from $ 58,681.36 to $ 516,157.01; the Data Update does little but relabel unrealistic «Goals» as «Aspirations.Special Education and English Language Learners mostly concern schedules and professional development; the revised budget and enrollment model call for a slightly smaller school, lower (lead) teacher / student ratios, higher special education teacher ratios (and lower special education assistant ratios), designates Bilingual Resource Teacher and Specialist allocations (these were folded into other categories in the January version), a slightly smaller school, and a 5 year budget shortfall that increases from $ 58,681.36 to $ 516,157.01; the Data Update does little but relabel unrealistic «Goals» as «Aspirations.special education teacher ratios (and lower special education assistant ratios), designates Bilingual Resource Teacher and Specialist allocations (these were folded into other categories in the January version), a slightly smaller school, and a 5 year budget shortfall that increases from $ 58,681.36 to $ 516,157.01; the Data Update does little but relabel unrealistic «Goals» as «Aspirations.special education assistant ratios), designates Bilingual Resource Teacher and Specialist allocations (these were folded into other categories in the January version), a slightly smaller school, and a 5 year budget shortfall that increases from $ 58,681.36 to $ 516,157.01; the Data Update does little but relabel unrealistic «Goals» as «Aspirations.»
The poor performance could be attributable to selection bias, or the schools» higher enrollment of special education students, or some other extraneous variable.
Other traveling privileges involve special benefits upon arrival at hotels and resorts with the Hilton HHonorsTM Gold Status Enrollment.
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.
Regardless of whether you purchase insurance through the exchange or off - exchange, the annual open enrollment window applies, and special enrollment periods are necessary in order to enroll at any other time of the year.
Comment: A commenter requested that HHS reduce the number of special enrollment periods other than qualifying life events.
One commenter opposed the effective dates for special enrollment periods under § 155.725 (j) and recommended allowing States flexibility to prescribe their own effective dates for initial, annual, and special enrollment periods, because there may be other implications to the effectuation of coverage for employees and dependents with a special enrollment period.
And although individual market coverage is limited to set enrollment periods, loss of other coverage counts as a qualifying event that triggers a special enrollment period, regardless of when it happens during the year.
Other commenters recommended maintaining the 60 - day special enrollment period.
Other commenters requested that, when an individual reports that he or she is a victim of domestic abuse, it triggers a special enrollment period, so that he or she may select and enroll in a qualified health plan on a separate application from his or her abuser, along with any dependents.
Other commenters requested restrictions in the number and availability of special enrollment periods.
The proposed revisions in paragraph (b)(2)(i) align regulatory policy for special enrollment periods based on a court order with other similar special enrollment period types, and create operational efficiencies for Exchanges by streamlining effective date options across similar special enrollment period qualifying events related to a qualified individual gaining or becoming a dependent.
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.
After weighing our options, we determined that codifying these currently available special enrollment periods is in the best interest of consumers and other Exchange stakeholders.
Things that change the size of your family or cause you to lose other health insurance coverage are likely to trigger a special enrollment period.
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).
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.
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.
Conversely, other commenters expressed concern about the elimination or limitation of existing special enrollment periods without documented proof of abuse.
Others have stated that any differential costs for the special enrollment period population reflect the very low take - up rates for special enrollment periods among eligible individuals.
A few commenters recommended that HHS continue to focus on eliminating and further streamlining special enrollment periods so that special enrollment periods on the Exchange more closely align with those in other coverage programs, such as Medicare or those found in HIPAA and related regulations.
Thus, at the Exchange's option, qualified individuals who qualify for a special enrollment period due to gaining or becoming a dependent through birth, adoption, placement for adoption, placement in foster care, or through a child support or other court order, would be able to elect from the same coverage effective date options, including: the date of qualifying event, the first day of the month following plan selection, or regular coverage effective dates in accordance with paragraph (b)(1).
Other commenters suggested that the coverage of consumers who were ultimately found to be ineligible for special enrollment periods which they used to enroll in coverage or did not submit the necessary documentation in a timely manner should be canceled as of the date the enrollment became effective.
This is important to ensure that they continue to be available, are equitably applied across Exchanges, and that consumers, assisters, issuers, and other stakeholders have a common understanding of the parameters and coverage effective dates associated with each of these special enrollment periods.
To buy Marketplace insurance outside of Open Enrollment, you must qualify for a Special Enrollment Period due to a qualifying life event like marriage, birth or adoption of a child, or loss of other health coverage.
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.
«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.
Similarly, if you lost other health coverage, that will trigger a Special Enrollment Period, depending on the circumstances.
However, if you've recently lost other comprehensive health insurance coverage, you might be able to enroll even before open enrollment if you meet the health plan's requirements for a special enrollment period.
The Marketplace may ask you for documents to confirm information on your application — your income, citizenship, or immigration status, or Special Enrollment Period (SEP) eligibility, like if you moved or lost other health coverage.
The only other time you can make changes is if you qualify for a special enrollment period.
You may qualify for a Special Enrollment Period if you lose qualifying health coverage you had through a parent, spouse, or other family member.
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.
Known as a special enrollment period, this exception allows you to sign up for health insurance if you lost your other health insurance because you:
And while most special enrollment periods follow the same deadlines and effective dates as general open enrollment, that's not the case for special enrollment periods that are triggered by loss of other coverage.
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