Although Open Enrollment is over, the Special Enrollment Period (SEP) for individuals is going on until the next Open Enrollment period begins in 2018. Special Enrollment Period period applies only to individuals who’ve experienced a qualifying event which allows them to apply for coverage outside of Open Enrollment.
Qualifying for Special Enrollment Period
Determining who can enroll during this special period is laid out in this form. Those qualifying events are:
- Recent marriage or domestic partnership
- Having a baby or adopting
- Court order or guardianship
- Death of a family member who was enrolled in previous coverage
- Immigration
- Loss of coverage involuntarily or through moving to a new service area.
- A permanent move
- Non-calendar renewal
- Jail or prison
For more information about qualifying events, consult the form or contact your agency.
Applying during Special Enrollment Period
Individuals who have experienced any of these events must act swiftly to request coverage. Within 60 days of the event they must submit an application and the appropriate documentation as proof of the qualifying event. Examples of documentation are letters or official forms from the source (i.e. employer) confirming the event occurred, the date it happened, and the names of all applicants affected. Paper applications are required during this period because online applications are only available during Open Enrollment. Brokers can obtain the paper application from Anthem’s Broker Portal. Agents can still use online quoting for clients. Unfortunately, policies written by agents during Special Enrollment Period are not eligible for commission. For questions or to request an application, individuals should contact an agent. This enrollment period is very helpful to those who qualify. We hope this information serves to guide you or someone you know who will need to apply for coverage at this time. To receive more updates from us or to learn more about our services, click here.
