Special Enrollment period

All progress takes place outside the comfort zone.png

You may be eligible to enroll for insurance even after the January 31st deadline if you qualify for the special enrollment period. The special enrollment period is a period outside of open enrollment where you can get insurance coverage due to qualifying life events.

You may qualify for the special enrollment period if you have:

  • Married or divorced
  • Moved to another state
  • Had a baby or adopted a child
  • Changed jobs
  • Had changes in your income that affect the coverage you qualify for
  • Became a U.S. citizen
  • Left incarceration
  • Had a change of dependency status of someone on your plan
  • Had a death of a covered member of your household
  • Turned 26 and aged off your parent’s plan
  • Lost employer group coverage
Advertisements

Special Enrollment Periods

The 2015 Annual Open Enrollment period has come to a close. Individuals are now limited on when and how often they are able to purchase an individual policy until the next Annual Open Enrollment period begins. Annual Open Enrollment for 2016 is currently scheduled for Nov. 1, 2015 through Jan. 31, 2016.

Individuals may be eligible for a special enrollment period if they experience a qualifying life event. Applicants may apply for coverage either On- or Off- Exchange.

OFF-Exchange Special Enrollment Periods:

To apply for coverage outside of Annual Open Enrollment, individuals must experience a qualifying life event listed below. Unless specifically stated otherwise, a qualified individual or enrollee has 60 days from the date of the triggering event to select a Health Plan.

COMMON QUALIFYING LIFE EVENTS INCLUDE:

  • Marriage
  • Birth or Adoption
  • Divorce
  • Relocating
  • Losing minimum essential health coverage
  • Loss of employer-sponsored health coverage
  • Loss of coverage for a dependent
  • Death of the policy holder
  • Cobra expiration
  • Medicaid or CHIP Expiration
  • Health plan decertified
  • No longer incarcerated
  • Gaining status as a citizen, national or lawfully
  • Change in income that results in an individual determined newly eligible or newly ineligible for tax credits
  • Change in eligibility for cost-sharing reductions
  • Return from active military service

A Special Enrollment Period Authorization Form MUST ACCOMPANY THE INDIVIDUAL APPLICATION for consideration of an off-Exchange special enrollment period. The individual will receive a first-of-the-month affective date following the processing of the application.

ON-Exchange Special Enrollment Periods:

According to Healthcare.gov, individuals may buy a private health plan through the Marketplace outside Annual Open Enrollment only if they qualify for a special enrollment period due to a qualifying life event such as marriage, birth, or adoption of a child, or loss of other health coverage.