Sentences with phrase «special enrollment periods at»

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.

If you have a job that provides health insurance but you've chosen to waive that health insurance, you'll be eligible for a special enrollment period at your workplace.

Not exact matches

If you begin work at a new employer that offers such a benefit, you may opt - in during a special enrollment period.

But state - run exchanges had some flexibility in terms of making the switch to a shorter enrollment period, and state - run exchanges also have the ability to create special enrollment periods that can be added to the regular open enrollment period (the way MNsure did at the end of the 2017 open enrollment period).

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.

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).

Comment: We received comments that requested changes to coverage effective dates for the newly proposed special enrollment period for losing a dependent as a result of death at § 155.420 (b)(2)(vi).

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;

There was no open enrollment period in the individual market before 2014, because health plans were not guaranteed issue at any time of the year in most states - so there was no need for special enrollment periods; people simply applied, and were either accepted or declined by the insurance carriers.

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).

For the amendments at § 155.420, we considered not codifying the existing special enrollment periods for consumers who are or were victims of domestic abuse or spousal abandonment and need to enroll in coverage apart from their abusers or abandoners, have been determined ineligible for Medicaid or CHIP, have been impacted by a material plan or benefit display error, or have resolved a citizenship or immigration inconsistency post-expiration, all currently provided through guidance.

Comment: One commenter suggested HHS clarify how the special enrollment period provisions in the Exchange regulations at § 155.420 apply in the individual market outside the Exchange.

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.

Additionally, certain special enrollment periods in § 155.420 also apply in the SHOPs and are incorporated into the SHOP regulations at § § 155.725 (j) and 156.285 (b).

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.

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: We received strong support for codifying the special enrollment period for material plan or benefit display errors at § 155.420 (d)(12) because it provides needed protections to consumers who may have been misled when deciding which QHP to enroll in.

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).

State - based exchanges have some flexibility in terms of some special enrollment periods, although CMS indicated that the special enrollment period for people whose plans are discontinued at year - end is available in every state, including state - based exchanges, regardless of whether the exchange mapped those enrollees to plans from different insurers or not.

Although Open Enrollment typically occurs for less than two months (November and December), you can purchase coverage at any time of the year if you qualify for a «Special Enrollment Period» (SEP).

We noted that certain special enrollment periods in § 155.420 are incorporated into the individual market guaranteed availability regulations at § 147.104 (b) and apply to all issuers offering non-grandfathered individual market coverage, whether through or outside of an Exchange.

These individuals may contact the Marketplace Call Center at 1-800-318-2596 to request enrollment using this special enrollment period after December 15, 2017.

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.

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)

Section 147.104 (b)(2) incorporates certain triggering events for special enrollment periods described in the Exchange regulations at § 155.420 (d), and applies them to health insurance issuers offering non-grandfathered coverage in the individual market through or outside the Exchange.

And all plans had to implement a special enrollment period — lasting at least 30 days — during which young adults who were not already on their parents» coverage were given an opportunity to be added to the plan.

While COBRA maybe an available option for you or your family members under your former employer's group health insurance plan, you may have other individual health insurance options available to you during the General Open Enrollment Period or your Special Enrollment Period through the 1) Federal Health Exchange at www.healthcare.gov, or 2) outside of the federal health exchange with a local broker or agent.

In the early days of Obamacare, the rule was that if you opted to go with COBRA, your special enrollment period for the individual market would end at that point, regardless of how many of your 60 days had elapsed.

Or they can enroll at any point during the year if they experience a qualifying event that triggers a special enrollment period.

Understanding Special Enrollment Periods: A Look at Some Who Will be Out of Luck.

All of those bills are aimed at specific provisions of the ACA, or the ways in which the law has been implemented via subsequent regulations (for example, HHS was tasked with establishing the specific requirements and details for special enrollment periods, and initially opted to use the honor system rather than requiring proof of qualifying events).

And if your insurer is exiting the market at the end of 2017, you've got a special enrollment period during which you can pick a new plan.

Health Insurance Companies issue short term plans much more quickly than long term major medical plans, and they can be purchased at any time of year, regardless of your eligibility for a Special Enrollment Period.