What is the new qualifying life event available for households with an income at 150% before the Federal Property Level?

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:

1. Above the range for Medicaid support in their state and
2. 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 

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.

Please don't hesitate to call us for help at (415) 930-9110 with any questions or if you need help enrolling!