Your income might qualify you to enroll in a Marketplace health plan through Stride year-round!
As of March 2022, a new qualifying life event has been added to the list! A Special Enrollment Period is being offered to households whose estimated income for 2022 is:
- Above the range for Medicaid support in their state and
- Doesn't exceed 150% of the Federal Poverty Level ("FPL")
Enrolling in a Marketplace health plan is usually limited to the Open Enrollment Period ("OEP").
You can enroll outside of OEP if you experience a qualifying Life Event, which triggers for you a 60-day window or Special Enrollment Period ("SEP") within which you can enroll.
Some of the existing qualifying Life Events are:
- Losing employer-sponsored health insurance
- Birth of child
- Getting married
- Turning 26 and losing coverage through your parents
- Moving when you already have Marketplace coverage to a new city or area that has different health plans
- Gaining legal presence or citizenship in the US
- Being released from incarceration
How do I know if my income is in this range?
In states that have not expanded their Medicaid coverage, the estimated income range to enroll under this SEP would start at $1 above 100% FPL and go up to and include 150% FPL.
In states that have expanded Medicaid, the range would start at $1 above 138% FPL and go up to and include 150% FPL.
Eligible income ranges for this income-based SEP
Household Size |
100% FPL + $1 |
138% FPL +$1 |
150% FPL |
1 |
$13,592 |
$18,755 |
$20,385 |
2 |
$18,311 |
$25,269 |
$27,465 |
3 |
$23,031 |
$31,781 |
$34,545 |
4 |
$27,751 |
$38,296 |
$41,625 |
5 |
$40,589 |
$44,810 |
$48,705 |
6 |
$37,191 |
$51,323 |
$55,785 |
SEP range begins at 100% FPL + $1 in AL, FL, GA, MS, NC, SC, SD, TN, TX, WI, WY
SEP range begins at 138% FPL + $1 in AK, AR, AZ, DE, IL, IN, IO, KS, LA, ME, MI, MO, MT, NE, NH, ND, OH, OK, UT, VA, WV
For household sizes greater than 6, refer to this chart.
If your estimated income for 2022 is this range, start your application at Stride.
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