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.
We note that, as specified in the proposed rule, this policy provides a
special enrollment period inside the Exchange for individuals whose coverage in group health plans and individual market plans
offered outside of the Exchange is expiring, including grandfathered and transitional plans.
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).
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).
Anthem, Kaiser, and Aetna
offer fair compensation to appointed brokers of their products across various states — sometimes even for
Special Enrollment Period applications.
We are therefore proposing to modify the requirements to reflect that the SHOP's proposed role is not to provide
special enrollment periods, but to ensure that QHP issuers
offering coverage through the SHOP provides the
special enrollment periods set forth in regulation.
(4) A dependent of a qualified employee is not eligible for a
special enrollment period if the employer does not extend the
offer of coverage to dependents.
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.
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.
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.
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.
The 2014 plan data applies only to plans
offered during 2014, including those purchased after March 31, 2014 with a
Special Enrollment Period.
Because so many people were caught off guard by the penalty, the government agreed to
offer a
special enrollment period that year for people who didn't know about the penalty until they filed their 2014 tax returns.
«
Special»
enrollment periods are
offered if you qualify for several exclusions.
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).