We also proposed to explicitly state that the requirement for Exchanges to ensure appropriate actions are taken in connection with retroactive terminations, currently set forth in paragraph (d)(6)
regarding special enrollment periods, applies to all retroactive terminations, including valid cancellations of coverage under a «free look» law.
We propose to make a technical amendment to update the cross reference to 26 CFR 1.36B - 2T in § 155.420 (d)(10)(i),
regarding the special enrollment period for victims of domestic abuse or spousal abandonment.
Not exact matches
Louise Norris, a highly
regarded expert on health insurance and author of our first guide, has put together an authoritative overview of
special enrollment periods and the qualifying events that trigger those SEPs.
Commenters noted concern
regarding the subjectivity of defining an error of the Exchange and requested CMS outline the specific scenarios which would warrant such a
special enrollment period.
The proposed regulations in part 147 would amend the rules
regarding fair health insurance premiums and guaranteed availability to reflect proposed changes related to the SHOPs and
special enrollment periods.
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.
During Open
Enrollment or a
Special Enrollment period, all plans currently sold in the marketplaces must accept your application without
regard to your current or previous health conditions and without any pre-existing condition waiting
periods as stipulated in Federal law under the ACA.