Sentences with phrase «special enrollment period on»

The event that is causing you to lose access to your employer - sponsored plan will also trigger a time - limited special enrollment period on your Affordable Care Act health insurance exchange (or for an ACA - compliant plan offered outside the exchange).

Special enrollment period: If you have a qualifying event, you may be eligible for a special enrollment period on your 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).

For example, if you lose your job and thus your job - based health insurance, that would trigger a special enrollment period on your state's health insurance exchange giving you 30 - 60 days to sign up for an exchange - based health plan even though it's not open enrollment.

If you lose your job - based health insurance, you'll qualify for a special enrollment period on your state's health insurance exchange, regardless of whether COBRA continuation is available to you.

Losing your health insurance because you didn't make the premium payment doesn't qualify you for a special enrollment period on the exchange.

Those same qualifying events also make you eligible for a special enrollment period on your state's Obamacare health insurance exchange.

Losing your health insurance because you didn't pay your premiums doesn't qualify you for a special enrollment period on the health insurance exchange.

Report the birth or adoption of a child to be eligible for a special enrollment period on HealthCare.gov or via your state's insurance exchange.

You need to report a marriage to be eligible for a special enrollment period on HealthCare.gov or through your state's insurance exchange.

Comment: Commenters expressed concerns about current misuse or abuse of special enrollment periods, including consumers who inappropriately obtain a special enrollment period on the basis of a loss of minimum essential coverage after being terminated from coverage due to a failure to pay premiums in violation of § 155.420 (e)(1).

Response: HHS has issued technical guidance, including the Standard Companion Guide Version 1.5 (issued March 22, 2013), which provides Exchanges with the information necessary to build the ability to send the reason for Special Enrollment Periods on the enrollment transaction.

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.

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).

This observation is underscored with a special pointedness in the 1979 report of the Carnegie Council on Policy Studies in Higher Education, titled Fair Practices in Higher Education and somewhat ominously subtitled «Rights and Responsibilities of Students and Their Colleges in a Period of Intensified Competition for Enrollments.»

I differ on this point as to the weight of its contributing impact, because this one - time decrease in state funding for public education doesn't alter the fact that for the past 20 years in Texas, total annual public education funding from all sources — local, state, and federal — has increased by almost twice the sum of inflation and enrollment growth over that period, even after an adjustment for the growth in special education students.

Please read the general and special enrollment period information on page 12 of our Medicare booklet to find out what may happen if you delay.

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.

General open enrollment ended on January 31, but loss of coverage triggers a 60 day special enrollment period.

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.

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.

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.

In addition, when exchanges grant special enrollment periods based on «exceptional circumstances» those special enrollment periods apply within the exchanges; off - exchange, it's up to the carriers as to whether or not they want to implement similar special enrollment periods.

Open enrollment for 2018 ended on December 15, 2017 in most states, although ten states have extended open enrollment beyond that date (and people in many states have special enrollment periods due either to hurricane - related events in 2017 or an insurer leaving the market at the end of 2017 — these special enrollment periods are addressed below).

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).

What millions of consumers don't know about qualifying life events can't help them capitalize on Obamacare's special enrollment periods

On - exchange, the November 1 — December 15 open enrollment period will be supplemented by a special enrollment period from October 15 to October 31, and another special enrollment period from December 16 to January 15 (these special enrollment periods are necessary because federal regulations designate November 1 to December 15 as the official open enrollment period, so California had to supplement that with special enrollment periods, rather than changing the official dates of open enrollment).

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.

The special enrollment period for people whose plan was discontinued on December 31, 2017 will continue for 60 days, through March 1.

U.S. Department of Health and Human Services, «FAQs on the Marketplace Residency Requirement and the Special Enrollment Period due to a Permanent Move» January 19, 2016.

Section 147.104 (b)(2)(i) extends several of the special enrollment periods that apply to issuers on the Exchange, to all issuers in the individual market.

Even though dependents may access special enrollment periods based on different qualifying events, when they qualify for a special enrollment period to newly enroll in Exchange coverage, regardless of whether it is a special enrollment period due to gaining or becoming a dependent or due to a loss of minimum essential coverage, we believe they should be treated alike.

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.

In 2016, we added warnings on HealthCare.gov about inappropriate use of special enrollment periods, eliminated special enrollment periods that are no longer needed as the Exchanges mature, and tightened eligibility rules for special enrollment periods.

In the case of a qualified individual or enrollee who is eligible for a special enrollment period as described in paragraphs (d)(4), (5), or (9) of this section, the Exchange may define the length of the special enrollment period as appropriate based on the circumstances of the special enrollment period, but in no event may the length of the special enrollment period exceed 60 days.

(iii) In the case of a qualified individual or enrollee eligible for a special enrollment period as described in paragraph (d)(4), (5), (9), (11), (12), or (13) of this section, the Exchange must ensure that coverage is effective on an appropriate date based on the circumstances of the special enrollment period.

We sought comment on this approach to aligning the proposed amendments with the individual - market - wide and SHOP special enrollment periods.

We propose that the special enrollment periods specified in § 155.725 (j) would continue to be applicable in the SHOPs for plan years beginning on or after January 1, 2018, and propose to include these in § 155.726 (c).

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).

For many special enrollment periods, a dependent of an Exchange enrollee may newly enroll in Exchange coverage or switch Exchange plans when the dependent or another qualified individual on the Exchange application qualifies for a special enrollment period.

If you're planning on shopping on one of the marketplaces, make sure that you're shopping during Open Enrollment (or that you qualify for a Special Enrollment Period).

If it's not open enrollment, you should also be able to qualify for a special enrollment period to shop on the marketplace.

Similarly, if you lost other health coverage, that will trigger a Special Enrollment Period, depending on the circumstances.

Leaving your parents» health insurance plan on purpose does not qualify you for a special enrollment period.

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

You can look for health insurance plans on your state or federal marketplace during Open Enrollment or, if you just recently changed your job, during a Special Enrollment Period.

If you think you qualify for a Special Enrollment Period for one of the situations listed on this page, contact the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325)

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.

If you miss this short special enrollment window, you'll have to wait until the next open enrollment period to buy health insurance on your state's health insurance exchange.

We propose that this special enrollment period be available with respect to a qualified individual or his or her dependent who, in any year, has coverage under a group health plan or an individual plan with a plan or policy year that is not offered on a calendar year basis.