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Insider’s Guide to Obamacare’s Special Enrollment PeriodsWhat millions of consumers don't know about qualifying life events can't help them capitalize on the Affordable Care Act's special enrollment periods
12 qualifying events that trigger ACA special enrollmentOutside of ACA's annual open enrollment, you can still enroll or change plans if you experience a qualifying event.
Miss open enrollment? You’ve got options.Outside of the ACA's open enrollment period, you can only sign up for ACA-compliant health coverage if you experience a qualifying event.
Who can help if I have a problem with my ACA-compliant coverage or exchange enrollmentHere’s a quick summary of what to keep in mind in case you run into troubles with the enrollment or disenrollment process, or with using your self-purchased ACA-compliant health plan.
Obamacare: the Affordable Care Act (ACA)Sweeping health reform legislation delivered a long list of provisions focused on health insurance affordability, consumer protections. A qualifying life event, as far as health insurance goes, is a change in situation (such as getting married or divorced, a change in residence, or a job loss) which makes a person eligible to enroll in health insurance outside of the yearly Open Enrollment Period. What Is a Qualifying Life Event for Health Insurance?A Qualifying Event for health insurance purposes is a major event that affects a person’s health insurance needs, and qualifies that person to make changes or buy a health plan immediately, even if it’s outside of open enrollment dates. Generally, Special Enrollment lasts 60 days before or after the qualifying event takes place and allows an individual to immediately make plan changes or sign up for a new coverage. What Is a Qualifying Life Event?An event that takes place which makes someone eligible for a health insurance Special Enrollment Period, rather than waiting for an Open Enrollment Period, is called a Qualifying Life Event. There are four categories of qualifying life events:
Loss of Health Insurance
Changes in Household
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Other Qualifying Changes
In addition to the above-mentioned qualifying life events, there are times when an Exceptional Circumstance (also called Special Circumstance) takes place that may qualify a person for a Special Enrollment Period. Special Enrollment Period Examples:
Need help managing benefits? Take a free tour of BambooHR Is Getting Pregnant a Qualifying Life Event?No, getting pregnant is not a qualifying life event for a special enrollment period in the marketplace. However, giving birth, adopting a child, or having a foster child placed in your home are qualifying life events. Is a New Job a Qualifying Event?No, getting a new job is not considered a qualifying event for special enrollment. However, gaining new employment may trigger a special enrollment period for the group coverage at the new job, should the employer offer it. Picking up employer-based coverage will trigger a disenrollment period for other coverage. How Long Do You Have For a Qualifying Event?A special enrollment period generally lasts 60 days before or after the qualifying event and allows an individual to make plan changes or sign up for a new health insurance plan immediately. What does insurance consider a life changing event?A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment Period, allowing you to enroll in health insurance outside the yearly Open Enrollment Period.
What are examples of a life changing event?Qualifying life events. Having or adopting a baby.. Getting married.. Moving to a new area.. Experiencing a shift in employment status.. Turning 26.. Getting divorced.. Death of someone who shares your health plan.. Earning U.S. citizenship.. What is the definition of a life changing event?Meaning of life-altering in English
having an effect that is strong enough to change someone's life: The birth of a child is a life-altering experience. His time as a young doctor was life-altering. More examples. I had to write a paper about a life-altering event.
What are examples of a qualifying event?What Is A Qualifying Life Event?. Becoming newly married or divorced.. Having a baby or adopting a child.. Experiencing a death of the insurer in the family.. Losing health insurance coverage due to job loss.. Losing eligibility for Medicare, Medicaid, or Children's Health Insurance Program (CHIP).. |