The Special Enrollment Period (SEP) is any time outside of the Open Enrollment period during which you may be eligible to apply for an individual or family health plan. If you experience a qualifying life event, such as getting married, having or adopting a baby, losing your coverage, turning 26, or permanently moving into a new service area, you may qualify for SEP.
When to enroll during a SEP
A Special Enrollment period occurs if you have a qualifying life event. In most cases, you will have 60 days after the qualifying life event to enroll in or make changes to a health plan.
Certain life events, like moving into the AmeriHealth coverage area, allow you to apply for a health plan up to 60 days before a qualifying life event. If you are losing health care coverage provided by an employer, you will have up to 60 days before and after this qualifying life event to enroll in a health plan.
When you apply for a Special Enrollment period for qualifying life events, you will be sent an Eligibility Notice for Coverage. This notice will include a list of acceptable documents you may provide to prove your eligibility for the Special Enrollment period. Please provide these documents by the deadline listed in the notice to avoid disruptions to your health care coverage. You must send the documents before you can start using your health care coverage.
How to enroll during a SEP
Outside of Open Enrollment, here’s how to apply if you qualify for a SEP: