Although some pregnant women might be eligible for
special enrollment periods due to qualifying events, pregnancy itself is not a qualifying event.
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).
Yes, but only if they qualify for
a Special Enrollment Period due to a life change, like having a baby, adopting a child, or getting married.
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.
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.
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).
To buy Marketplace insurance outside of Open Enrollment, you must qualify for
a Special Enrollment Period due to a qualifying life event like marriage, birth or adoption of a child, or loss of other health coverage.
Other commenters requested the expansion of existing special enrollment periods, including adding provider network and drug formulary errors to the special enrollment period for plan or benefit display errors under paragraph (d)(4) of this section, allowing dependents of Indians to enroll in or change enrollments along with the Indian through the special enrollment period in paragraph (d)(8) of this section, and allowing for a retroactive coverage start date for consumers who qualify for
the special enrollment period due to a loss of minimum essential coverage in paragraph (d)(1) of this section.
You can still get 2018 health insurance if you qualify for
a Special Enrollment Period due to a life event like losing other coverage, getting married, or having a baby.
Outside Open Enrollment, you can change plans only if you qualify for
a Special Enrollment Period due to a life event — like changing jobs, getting married, or having a baby.
Not exact matches
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.
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.
We noted that, if a loss of a dependent or no longer being considered a dependent
due to divorce, legal separation, or death results in a loss of minimum essential coverage, such individuals may qualify for the
special enrollment period for loss of minimum essential coverage.
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: We appreciate the concerns raised by commenters about the elimination of the implementation deadlines for both offering advance availability for the
special enrollment period for a permanent move and for the
special enrollment period for enrollees who have lost a dependent or are no longer considered a dependent
due to divorce, legal separation, or death.
To aid in verification of
special enrollment period eligibility, one issuer suggested implementing an online directory for issuers of consumers who have been terminated
due to nonpayment of premiums.
Since the plan has changed
due to your move, you qualify for a
Special Enrollment Period.
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 are considering a premium payment deadline of 10 - 15 business days from when the issuer receives the
enrollment transaction.
If you lose coverage under your existing health plan or need to change coverage
due to specific life events, you have rights to
special enrollment in a new plan outside of the usual open
enrollment period.
You're eligible for a
special enrollment period because you just lost your job - based health insurance
due to being laid off (note that you're eligible to get a plan in the individual market — on or off - exchange — even if you also have the option to continue your job - based insurance via COBRA.You have the full 60 - day election
period to pick COBRA or an individual market plan, and you're allowed to change your mind within that 60 - day window too, which wasn't the case prior to 2017).
We are Wisconsin insurance experts who will help you obtain a
special enrollment period any time during the year
due if you meet certain guidelines.