Comment: Commenters expressed strong support for codifying the special enrollment period for dependents of Indians in paragraph (d)(8)(ii), so that mixed status Indian families may have access to
the same special enrollment periods regardless of the State in which they live.
Commenters appreciated the transparency of adding these special enrollment periods to regulation, so that consumers, regardless of the State in which they live, have access to
the same special enrollment periods, and that all individuals involved in enrollment assistance have a better understanding of the special enrollment periods that are available.
We also agree that consumers who experience these qualifying events should have access to
the same special enrollment periods, regardless of the State that they live in.
Response: With the exception of certain triggering events specified in § 147.104 (b)(2), which are only relevant to enrollment in a QHP through the Exchange,
the same special enrollment periods (also referred to as limited open enrollment periods) apply throughout the individual market, both inside and outside of the Exchange.
Not exact matches
It's time that Albany strengthens the laws to ensure that charter operators admit children with
special needs and that they comply with the
same accountability measures for
enrollment that neighborhood schools must adhere to.
The qualifying events that trigger
special enrollment periods are the
same as they were in 2017, although there's an increased focus on verifying eligibility for
special enrollment periods, so be prepared to provide proof of your qualifying event.
The
same open
enrollment dates apply outside the exchange, and most of the
special enrollment period rules also apply to plans purchased outside the exchange.
Paragraph (d)(8)(ii) for the
special enrollment period for dependents of Indians who are enrolled or are enrolling in a QHP through an Exchange at the
same time as an Indian;
We also considered not standardizing the availability of the
special enrollment period for Indians to non-Indian dependents enrolling at the
same time as the Indian.
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).
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).
Lastly, and this is easiest one, if you move to another county or another state, you automatically qualify for a
Special Enrollment Period, regardless of whether the
same plan is available or if it has changed at all.
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.
Those
same qualifying events also make you eligible for a
special enrollment period on your state's Obamacare health insurance exchange.
If you lose your COBRA health insurance because your COBRA eligibility period of 18 - 36 months expired, you're eligible for a 60 - day
special enrollment period on the Marketplace (the
same as the eligibility period that applied when you were initially eligible for COBRA).
Because they all apply on the
same Marketplace application, they're all eligible for a
Special Enrollment Period.