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How do I know if I Qualify for a Special Enrollment Period?

Dec 18, 2019
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Open Enrollment for 2020 health plans has ended.  However, you may still purchase a plan if you qualify for a Special Enrollment Period.  A Special Enrollment Period (SEP) is time outside of the annual Open Enrollment when you can sign up for health insurance if you have experienced a qualifying life event. The enrollment window is generally up to 60 days prior to the qualifying life event through 60 days after it.

The following circumstances may trigger a Special Enrollment Period:

  • Loss of other qualifying coverage
  • Change in household size
  • Changes in primary place of living
  • Change in eligibility for financial help
  • Enrollment or plan error
  • Other qualifying changes:
  • Being determined ineligible for Medicaid or CHIP
  • Exceptional circumstances
  • Survivors of domestic violence, abuse or spousal abandonment
  • AmeriCorps service member

You may also visit HealthCare.gov for more information about the qualifying criteria for a Special Enrollment Period.

Questions?  Give us a call at (855) 624-6463, Monday through Friday from 8 AM to 6 PM.

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We have the answers!  To make it easier for you to understand your Community Health Options plan benefits and get the most out of your coverage, we are offering a series of educational Member Orientation meetings—online and in person—during the month of May.