Sentences with phrase «special enrollment period»

Even though open enrollment is over for 2015, many families will qualify for special enrollment periods throughout the year.

Other commenters requested restrictions in the number and availability of special enrollment periods.

Here's a guide that pertains specifically to special enrollment periods in the individual market, on and off - exchange.

Losing that coverage will make you eligible for a time - limited special enrollment period on your health insurance exchange.

Although some pregnant women might be eligible for special enrollment periods due to qualifying events, pregnancy itself is not a qualifying event.

Special enrollment period eligibility is also open to people who registered during the designated open enrollment period, but who now want to change their coverage.

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

Job - based plans provide yet another option because they typically have 30 - day special enrollment periods.

Some people may be eligible for special enrollment periods based on their employment history or other health insurance coverage they have.

We continue to be interested in better understanding how consumers are accessing special enrollment periods and whether they are doing so in an appropriate and accurate way.

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.

Most special enrollment periods extend 60 days from the date of the qualifying life event, so it's important to make this a priority, even though your deadline may be delayed.

Special enrollment periods typically give you 30 days to enroll in a plan offered by your employer (or to add dependents to your employer - sponsored plan).

But for plans in the individual market, special enrollment periods generally last for 60 days, although some last for 60 days both before and after a qualifying event.

The law would also allow insurers to stop paying commissions for individual coverage sold during an ACA special enrollment period.

The individual market now has special enrollment periods just like the employer - sponsored insurance market.

People who enroll in exchange plans outside of open enrollment will have to provide proof of a qualifying event, and eligibility for special enrollment periods will be restricted in some cases.

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.

One commenter recommended a 30 - day special enrollment period.

Special enrollment periods generally last 60 days from the qualifying event.

They are very similar to the qualifying events that trigger special enrollment periods for employer - sponsored insurance and Medicare coverage, but there are some differences.

For 2016 coverage, only Prominence continued to pay broker commissions on and off - exchange for enrollments outside of open enrollment (ie, during special enrollment periods).

Prior to 2014, qualifying events and special enrollment periods applied in the group market (ie, job - based insurance) and for Medicare, but not for the individual market.

The individual market didn't use special enrollment periods (or open enrollment periods) prior to 2014 because people could enroll anytime they wanted... but the trade - off was that in all but a few states, eligibility for coverage in the individual market depended on your medical history.

The SHOP must ensure that issuers offering QHPs through the SHOP provide special enrollment periods consistent with the section, during which certain qualified employees or dependents of qualified employees may enroll in QHPs and enrollees may change QHPs.

In an interim final rule, published in the May 11, 2016 Federal Register (81 FR 29146), we made amendments to the parameters of certain special enrollment periods (2016 Interim Final Rule).

Comment: We received one comment supporting the proposal that there not be a SHOP special enrollment period when a qualified employee or dependent of a qualified employee is enrolled in a non-calendar year group health plan or individual health insurance coverage.

Although § 147.104 (b)(2)(i) is intended to specify which special enrollment periods offered through the Exchange must also be offered by health insurance issuers with respect to coverage offered outside of an Exchange, the paragraph as currently written could be read to apply the exceptions to any coverage offered by a health insurance issuer in the individual market.

Special Enrollment Periods allow people like you to shop for health insurance on the marketplace outside of regularly scheduled enrollment periods.

As noted by commenters, non-enrollees may be determined eligible for other special enrollment periods including that for loss of coverage.

CMS is also creating special enrollment periods for people who live in hurricane areas who want to change their Medicare health or prescription drug plans or make changes to their 2017 federal health exchange plan.

The SHOP must ensure that issuers offering QHPs through the SHOP adhere to applicable enrollment periods, including special enrollment periods.

We also propose that the requirements regarding special enrollment periods in § 155.725 (j)(3) would apply for plan years beginning on or after January 1, 2018.

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.

As a result, a new special enrollment period was enacted, running from September 4 to November 2, 2014.

Truthfully, the majority of carriers offering individual and family plans during Open Enrollment and for Special Enrollment Periods do not pay commission.

Before we dig deeper into Special Enrollment Periods, you first have to understand how Medicare enrollment periods work.

Response: We agree with commenters who urged consistency in access to special enrollment periods inside and outside the individual market Exchanges.

We recognize the potential for confusion, as coverage offered through an Exchange is offered by «a health insurance issuer in the individual market,» but this coverage is subject to the special enrollment rule at § 155.420 (d), which is intended to require special enrollment periods for triggers including those listed in the exceptions in paragraph (b)(2)(i).

In the July 15, 2011 Federal Register (76 FR 41865), we published a proposed rule establishing special enrollment periods for the individual Health Insurance Exchange.

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.

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.

HHS denied the request for a blanket extension, but MNsure used their own authority on January 28 to grant a one - week special enrollment period (February 1 to February 8) due to exceptional circumstances.