American Rescue Plan Act
The recently passed American Rescue Plan Act includes updates that result in significant additional savings for shopping for coverage and those already enrolled. Please schedule a meeting with our office to see if you qualify ASAP.
Special Enrollment
The Special Enrollment Period (SEP) is a period of time outside of the Open Enrollment period during which you may be eligible to apply for an individual or family health plan. If you experience a Qualifying Life Event, such as getting married, having or adopting a baby, losing your coverage, or moving into a new service area, you may qualify for SEP.
Special Enrollment with Qualifying Life Events
A Qualifying Life Event is a change in circumstance that may allow you to enroll in coverage outside of the annual Open Enrollment period.
Qualifying Life Events include:
Birth
Marriage
Adoption/Foster care
Loss of coverage because of the following events*
Losing coverage through your job
Legally separated or divorced from your spouse
Death of policy holder
COBRA expiration
Losing eligibility for Medicaid or CHIP Determined ineligible for Medicaid or CHIP after Open Enrollment
Experience domestic abuse/violence or spousal abandonment
Permanent move into insurer’s network
You change your permanent residence
You become a U.S. citizen
When Can I Enroll During a Special Enrollment Period?
A Special Enrollment Period occurs if you have a Qualifying Life Event. In most cases, you will have 60 days after the Qualifying Life Event to enroll in or make changes to a health plan.
Certain life events allow you to apply for a health plan up to 60 days before a Qualifying Life Event. If you are losing health care coverage provided by an employer, you will have up to 60 days before and after this Qualifying Life Event to enroll in a health plan.
When you apply for a Special Enrollment Period for the following Qualifying Life Events, you will be sent an Eligibility Notice for Coverage.
Loss of minimum essential coverage
Change in primary place of living (“permanent move”)
Birth
Gaining a dependent through adoption, placement for adoption, placement in foster care, or a child support or other court order
Marriage
The recently passed American Rescue Plan Act includes updates that result in significant additional savings for shopping for coverage and those already enrolled. Please schedule a meeting with our office to see if you qualify ASAP.
Special Enrollment
The Special Enrollment Period (SEP) is a period of time outside of the Open Enrollment period during which you may be eligible to apply for an individual or family health plan. If you experience a Qualifying Life Event, such as getting married, having or adopting a baby, losing your coverage, or moving into a new service area, you may qualify for SEP.
Special Enrollment with Qualifying Life Events
A Qualifying Life Event is a change in circumstance that may allow you to enroll in coverage outside of the annual Open Enrollment period.
Qualifying Life Events include:
Birth
Marriage
Adoption/Foster care
Loss of coverage because of the following events*
Losing coverage through your job
Legally separated or divorced from your spouse
Death of policy holder
COBRA expiration
Losing eligibility for Medicaid or CHIP Determined ineligible for Medicaid or CHIP after Open Enrollment
Experience domestic abuse/violence or spousal abandonment
Permanent move into insurer’s network
You change your permanent residence
You become a U.S. citizen
When Can I Enroll During a Special Enrollment Period?
A Special Enrollment Period occurs if you have a Qualifying Life Event. In most cases, you will have 60 days after the Qualifying Life Event to enroll in or make changes to a health plan.
Certain life events allow you to apply for a health plan up to 60 days before a Qualifying Life Event. If you are losing health care coverage provided by an employer, you will have up to 60 days before and after this Qualifying Life Event to enroll in a health plan.
When you apply for a Special Enrollment Period for the following Qualifying Life Events, you will be sent an Eligibility Notice for Coverage.
Loss of minimum essential coverage
Change in primary place of living (“permanent move”)
Birth
Gaining a dependent through adoption, placement for adoption, placement in foster care, or a child support or other court order
Marriage
Matthew Collins
Owner / Chief Problem Solver [email protected] Specializing in health insurance, Medicare, and the Affordable Care Act for individuals, families, business owners, and groups in New Jersey and Southeastern Pennsylvania. |