Sentences with phrase «special enrollment under»

In this Example 3, because B's spouse satisfies the conditions for special enrollment under paragraph (a)(2)(ii) of this section, both B and B's spouse are eligible for special enrollment under X's plan.

Consequently, A and A's spouse are eligible for special enrollment under P.

In this Example 2, because A and A's spouse were covered under Q when they did not enroll in P during open enrollment, they satisfy the conditions for special enrollment under paragraphs (a)(2)(i) and (ii) of this section.

In this Example 1, because A satisfies the conditions for special enrollment under paragraph (a)(2)(i) of this section, A, A's spouse, and A's dependent children are eligible for special enrollment under X's plan.

Not exact matches

The current state law says that towns, under the state's so - called «minimum budget requirement,» can not spend less money on public education than was spent during the previous year — unless special circumstances such as a sudden drop in enrollment or other problems.

Under the formula, the base student allocation is multiplied by a weighted student enrollment, which includes adjustments for different grade levels, English - language learners, special education students, and those in vocational education programs.

in the case of an unaccompanied youth, ensure that the local educational agency liaison assists in placement or enrollment decisions under this paragraph, including coordination with the committee on special education for students with disabilities pursuant to section 200.4 of this Title, considers the views of such unaccompanied youth, and provides notice to such youth of the right to appeal pursuant to 42 U.S.C. section 11432 (g)(3)(E)(ii)(Public Law 107 - 110, title X, section 1032, 115 STAT.

Pupils would no longer have been denied under the open enrollment program in order to receive a special needs voucher.

(4) Notwithstanding any general or special law to the contrary, if a district qualifying under paragraph (3) is no longer in the lowest 10 per cent, the net school spending cap shall be 9 per cent; provided, however, that if the board of elementary and secondary education previously approved a higher level of enrollment for a charter school in the district while the district was in the lowest 10 per cent, the net school spending cap shall remain at the level necessary to support such enrollment.

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.

Under § 147.104, this special enrollment period also applies to individuals who seek to enroll in individual market coverage off the Exchange.

(ii) For coverage being effectuated under special effective dates, as provided in § 155.420 (b)(2), premium payment deadlines must be 30 calendar days from the date the issuer receives the enrollment transaction.

Note that in early 2016, HHS eliminated some little - used special enrollment periods that were no longer necessary (for example, the special enrollment period that had previously been available for people whose Pre-Existing Conditions Health Insurance Program (PCIP) had ended; coverage under those plans ended in 2014; but there's still a special enrollment period for anyone whose minimum essential coverage ends involuntarily).

One commenter opposed the effective dates for special enrollment periods under § 155.725 (j) and recommended allowing States flexibility to prescribe their own effective dates for initial, annual, and special enrollment periods, because there may be other implications to the effectuation of coverage for employees and dependents with a special enrollment period.

The special enrollment period applies even if you have the option to continue your employer - sponsored plan under COBRA.

Section 1311 (c)(6)(C) of the Affordable Care Act directs the Secretary of HHS to require an Exchange to provide for special enrollment periods specified in section 9801 of the Code and other special enrollment periods under circumstances similar to such periods under part D of title XVIII of the Act.

The special enrollment rights under this paragraph (b) apply without regard to the dates on which an individual would otherwise be able to enroll under the plan.

In addition, we do not anticipate that any of the amendments to the existing parameters of special enrollment periods will reduce their availability to those individuals who should qualify under the provision's original intent.

When C later exhausts COBRA coverage under X's plan, C has a second special enrollment right in Z's plan.

If an employer group member, under the approach proposed throughout this document, believed that he or she were entitled to a SHOP special enrollment period, but was denied that special enrollment period, the employer group member could file a complaint with the SHOP and the SHOP would investigate.

One commenter requested restricting the eligibility of the special enrollment period for gaining access to new QHPs as a result of a permanent move to only consumers who were previously enrolled in other minimum essential coverage, and only allowing the new dependent to enroll in or change his or her enrollment into a new QHP under the special enrollment period described in paragraph (d)(2).

The special enrollment right that C had into Z's plan immediately after the loss of eligibility for coverage under X's plan was an offer of coverage under Z's plan.

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.

During Annual Open Enrollment Periods, or if you qualify for a Special Enrollment Period, WNC Health Insurance can assist you in finding the best health plans under The Affordable Care Act.

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.

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.

In addition, we introduced a Special Enrollment Confirmation Process under which consumers enrolling through the most common special enrollment periods are directed to provide documentation to confirm their eligibility for their special enrollment Special Enrollment Confirmation Process under which consumers enrolling through the most common special enrollment periods are directed to provide documentation to confirm their eligibility for their special enrollmeEnrollment Confirmation Process under which consumers enrolling through the most common special enrollment periods are directed to provide documentation to confirm their eligibility for their special enrollment special enrollment periods are directed to provide documentation to confirm their eligibility for their special enrollmeenrollment periods are directed to provide documentation to confirm their eligibility for their special enrollment special enrollmentenrollment period.

We note that where an Exchange undertakes such a review, the Exchange may either retroactively or prospectively end coverage, consistent with Exchange regulations, if the Exchange determines that the special enrollment period was improperly granted under § 155.420.

If you don't sign your baby up for health insurance within 30 days — by adding them to your existing plan, changing your plan with your existing carrier, or shopping for a new plan — you could face a penalty for not having health insurance and will pay for medical costs out of pocket, with one caveat: giving birth qualifies you for a Special Enrollment Period under the Affordable Care Act.

Translation: If you're uninsured or under a plan set to expire and don't act now, you won't have coverage for 2018 unless you qualify for a special enrollment period.

Open enrollment for health insurance doesn't begin again until the end of the year, but you're likely eligible for a plan under a Special Enrollment Period, since a change in health coverage stemming from a divorce is a qualifyenrollment for health insurance doesn't begin again until the end of the year, but you're likely eligible for a plan under a Special Enrollment Period, since a change in health coverage stemming from a divorce is a qualifyEnrollment Period, since a change in health coverage stemming from a divorce is a qualifying event.

Even though open enrollment is over, your move to a new state qualifies you to shop for policies under the «special enrollment» period.

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.

If that's the case, your open enrollment period is determined by the U.S. Department of Health and Human Services, under regulations pertaining to the Affordable Care Act (prior to 2014, there was no such thing as open enrollment for individual health insurance, but insurers in most states could reject applications from people with pre-existing conditions, or charge them higher premiums; coverage is now guaranteed issue, regardless of medical history, but enrollment is limited to open enrollment or special enrollment periods).

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 delay Medicare Part B enrollment because of coverage under a current employer (either your own or your spouse's), you can qualify for a Special Enrollment Period when this group coverage ends and will not be subject to thenrollment because of coverage under a current employer (either your own or your spouse's), you can qualify for a Special Enrollment Period when this group coverage ends and will not be subject to thEnrollment Period when this group coverage ends and will not be subject to the penalty.

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.

And while there's a lot of overlap in terms of what triggers a special enrollment period, there are some qualifying events that are unique to the individual market under the Affordable Care Act.

When you lose coverage under your parents» plan, you qualify for a Special Enrollment Period of 120 days for the Health Insurance Marketplace.

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.

During Open Enrollment or a Special Enrollment period, all plans currently sold in the marketplaces must accept your application without regard to your current or previous health conditions and without any pre-existing condition waiting periods as stipulated in Federal law under the ACA.

They may be able to add you to an existing Marketplace plan through a Special Enrollment Period, as long as you're under 26.

However, if you enroll late in a group health plan (after you were hired and not during a regular or special enrollment period) under a self - insured group health plan, you may have a pre-existing condition exclusion period of up to 18 months.

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.

If you miss the deadline for Obamacare, you can still sign up for coverage under a special enrollment period around the time of your 26th birthday.

A: Marketplace open enrollment for 2016 is over, but you may be eligible to enroll in a Marketplace plan now under special circumstances; and if you qualify for Medi - Cal, enrollment is open year - round.

Marketplace open enrollment for 2016 is over, but you may be eligible to enroll in a Marketplace plan now under special circumstances; and if you qualify for Medi - Cal, enrollment is open year - round.