Do you qualify for a special enrollment period?

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You may qualify for a Special Enrollment Period if you or anyone in your household lost qualifying health coverage in the past 60 days or expects to lose coverage in the next 60 days.

Click here to see if you qualify for a special enrollment period.

Life changes that may qualify for a special enrollment period:

  • Loss of health coverage (i.e. job loss, loss of dependent eligibility, loss of medicaid eligibility)

    • Job loss

    • Loss of dependent eligibility through parent plan

    • Loss of Medicaid or CHIP eligibility

    • Losing coverage through ex-spouse or domestic partner

  • Household changes

    • Marriage

    • Newborn

    • Adoption

    • Death of someone on policy resulting in loss of eligibility

  • Residency changes

    • Moving to a new zip code

    • Moving to the U.S. from a different country

    • Seasonal worker residency change

  • Income adjustments

  • Other life circumstances that may qualify you:

    • Gaining membership in a federally recognized tribe or status as an Alaska Native Claims Settlement Act (ANCSA) Corporation shareholder

    • Becoming newly eligible for Marketplace coverage because you became a U.S. citizen

    • Leaving incarceration

    • Starting or ending service as an AmeriCorps State and National, VISTA, or NCCC member

When you apply for Marketplace coverage and qualify for a Special Enrollment Period, you may be asked to provide documents to confirm the events that make you eligible. You must send the documents before you can start using your coverage.

  • You’ll learn if you have to provide documents after you submit your application. Details and instructions appear on your eligibility notice.

  • It’s best to pick a plan first and submit your documents afterwards. After you pick a plan, you have 30 days to send the documents.

  • Your coverage start date is based on when you pick a plan. But you can’t use your coverage until your eligibility is confirmed and you make your first premium payment.

  • If your eligibility notice doesn’t say you need to submit documents, you don’t have to. Simply pick a plan and enroll.

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