Sentences with phrase «special enrollment periods requirements»

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.

Not exact matches

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.

Therefore, HHS will provide issuers with suggested special enrollment period language that they could use in their existing consumer notices to satisfy the requirement that they notify enrollees of their eligibility for a special enrollment period.

We amended the eligibility parameters for this special enrollment period by adding requirements in § 155.420 (d)(7)(i) and (ii).

The addition of paragraph (i) required further amendments to the rule to maintain the availability of the permanent move special enrollment period for certain other individuals who should continue to be able to access this special enrollment period without the requirement of being previously enrolled in minimum essential coverage.

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.

However, assuming you meet citizenship requirements, if you move to a new area, you have approximately 60 days to purchase a qualified Marketplace policy under the «Special Enrollment Period» exemption.

Response: We agree with commenters that adding a prior coverage requirement to the special enrollment period for a permanent move protects against misuse and abuse of this special enrollment period by preventing consumers who are moving for the sole purpose of obtaining medical treatment from newly enrolling in a QHP.

As mentioned above, we are conducting an assessment of QHP enrollments that were made through special enrollment periods in the FFEs, and, given the information technology system requirements necessary to implement these provisions by January 1, 2017, we were concerned that the requirement to meet the January 1, 2017, deadline could cause needless expenditures of Exchange funds.

However, if you've recently lost other comprehensive health insurance coverage, you might be able to enroll even before open enrollment if you meet the health plan's requirements for a special enrollment period.

You'll have to meet that requirement before you'll be eligible to sign up, even with a special enrollment period.

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).

We also proposed to explicitly state that the requirement for Exchanges to ensure appropriate actions are taken in connection with retroactive terminations, currently set forth in paragraph (d)(6) regarding special enrollment periods, applies to all retroactive terminations, including valid cancellations of coverage under a «free look» law.

Changes include different dates for the annual Individual and Family Health Insurance Open Enrollment Period, stricter Special Enrollment eligibility rules including requirements to provide proof of prior coverage.