The marketplace has an Open Enrollment Period, typically from November 1 to January 15. Outside of these dates, individuals who experience a Qualifying Life Event (QLE) can enroll during what is known as a Special Enrollment Period.
A Qualifying Life Event is a major change in your life that opens up a window for you to enroll in coverage or change plans. This begins 60 days before the trigger event and lasts 60 days after the trigger event date.
The most common QLE's include:
- You or a dependent lose job-based coverage
- You are no longer Medicaid eligible
- You get married or divorced
- You have a baby, or adopt
- You are turning 26 and aging off your parent's plan
- You permanently move to a different zip code
- You gained access to an individual coverage HRA or a Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) in the past 60 days or expect to in the next 60 days.
- You gain US citizenship
- You are or gain status as a Native American Indian
- Your income meets these requirements:
- Above the range for Medicaid support in their state and
- Doesn't exceed 150% of the Federal Poverty Level ("FPL")
- Your income changes significantly, making you newly eligible (or ineligible) for subsidies
If you have a baby, adopt a child, or place a child for foster care: Your coverage can start the day of the event – even if you enroll in the plan up to 60 days afterward.
For other qualifying events, plans start on the first of the month following the purchase of health insurance.
Comments
0 comments
Please sign in to leave a comment.