Anyone living anywhere that was declared an emergency or disaster area because of the hurricanes can
use the special enrollment periods.
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).
For example, this revision to the regulation would enable the FFE to use a simpler online, automated application pathway for more special enrollment period - eligible consumers, meaning that fewer consumers will need to use a manual and costly casework process to
use their special enrollment period.
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.
Make sure your enrollment is completed
using a special enrollment period and NOT the general open enrollment period (which would push your effective date to February 1 if you enroll in the second half of December).
For example, if you applied for a 2018 Obamacare plan during open enrollment in the fall of 2017, OR if you're applying for 2018 coverage in mid-2018
using a special enrollment period (triggered by a qualifying event), you'll use the FPL figures from 2017.
If you owe a fee for not having coverage in 2014 but are already enrolled in a 2015 Marketplace plan, you can't
use this Special Enrollment Period to switch plans.
And if your 2017 health insurance policy was not eligible for renewal because your insurer left the market in your area, you have until March 1, 2018 to pick a new plan,
using the special enrollment period that's triggered by loss of coverage (there are some exceptions to this; some state - run exchanges that mapped these enrollees to new plans did not grant the special enrollment period)
If they are going to be moving back to the US permanently, they can try to enroll into Obamacare
using a special enrollment period.
Not exact matches
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.
Now that coverage is guaranteed - issue in the individual market (just the way it is for employees who are eligible for their employer's health plan), the individual market
uses open
enrollment and
special enrollent
periods just like employer - sponsored health insurance.
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.
In 2016, we added warnings on HealthCare.gov about inappropriate
use of
special enrollment periods, eliminated
special enrollment periods that are no longer needed as the Exchanges mature, and tightened eligibility rules for
special enrollment periods.
If the birth occurs after the Open
Enrollment period ends (February 15th 2015), benefits are effective the day the baby was born by using an SEP (Special Enrollment Period) prov
period ends (February 15th 2015), benefits are effective the day the baby was born by
using an SEP (
Special Enrollment Period) prov
Period) provision.
Other commenters suggested that the coverage of consumers who were ultimately found to be ineligible for
special enrollment periods which they
used to enroll in coverage or did not submit the necessary documentation in a timely manner should be canceled as of the date the
enrollment became effective.
If the proposed changes are finalized, SHOPs that
use the new flexibilities, such as the FF - SHOPs, would no longer have the information required to determine employer group members» eligibility for
special enrollment periods.
We also appreciate the suggestions about the methods we should
use to monitor
special enrollment period enrollments and criteria we should evaluate in order to better understand consumer behavior and increase appropriate utilization of
special enrollment periods.
We believe that this certainty will contribute to greater stability in the market, and in the
use of these
special enrollment periods, specifically.
Commenters also suggested that improved data collection could also be
used to curb possible misuse of
special enrollment periods, in addition to expanding the Exchanges»
use of electronic data sources, and improving education efforts to make sure all stakeholders understand the eligibility criteria for all
special enrollment periods.
Without this
special enrollment period, people
using the exchanges only have until Dec. 15 to pick a plan.
To qualify, you must have moved from Puerto Rico or the U.S. Virgin Islands to a state that
uses HealthCare.gov to enroll in coverage, and been unable to enroll in coverage during the 2018 Open
Enrollment Period or any other
Special Enrollment Period.
The open
enrollment and
special enrollment windows will remain unchanged, which does make it challenging for people to wait until they're sick to enroll in individual market health insurance (employer - sponsored health insurance has long
used open
enrollment periods too; people can not sign up for their employer's health plan whenever they like).
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).