Health Insurance Special Enrollment Periods

You may sign up for new health and medical insurance outside of the yearly Open Enrollment Period when your work health insurance terminates.

You have up to 60 days to elect new insurance coverage.

Length Of Time To Enroll In A Qualified Health Plan

You have 60 days from the date of your triggering event to enroll in a qualified health plan.
It’s highly recommended that you start the enrollment process as soon possible; within 1-2 weeks of your event. This ensures the process goes smoothly and you’re able to secure your new coverage.

Job Loss And COBRA During Special Enrollment Period

In the case of job loss, employers with 20 or more employees are required by law to offer a continuation of health insurance benefits. You should receive a notice of your right to continuing group health coverage notice from your former employer within 60 days of the date when you lost coverage. When you are on a continuation of benefits covered under COBRA, you pay the full monthly premium of the insurance.

Coverage For Pre-Existing Conditions

If you’ve experienced job loss, you’re not obligated to continue with your previous employer’s group health coverage under COBRA. Instead, you can opt for a health plan through the Affordable Care Act (ACA) marketplace during a special enrollment period. This gives you access to a range of health plans, potentially with subsidies to lower monthly premiums based on your income. You can compare and choose a plan that best suits your needs, without being restricted to your previous employer’s group insurance.

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Federal Qualified Insurance Plans – ACA

Qualifying Events For Health Insurance Change

  • Getting married
  • Having, adopting, or placement of a child
  • Medical Child Support Orders (MCSO) issued by state or federal court
  • Permanently moving to a new area that offers different health plan options
  • Losing other health coverage due to a job loss, divorce, loss of eligibility for Medicaid or CHIP
  • Expiration of COBRA coverage or a health plan being de-certified.
  • Those covered in an Insurance Marketplace (state or federal exchange) and having a change in income or household status that affects eligibility for tax credits or cost-sharing reductions

Voluntarily Quitting Health Coverage Is Not A Qualifying Event

Stopping health coverage for not paying insurance premiums are not considered loss of coverage. Losing coverage that is not minimum essential coverage is also not considered loss of coverage. If you were to quit your job or get fired, you can keep your employer’s health plan by using your COBRA rights. If you do not make your premium payments and lose that coverage, you will not be able to enroll in major medical health insurance until the federal open enrollment or through your next employer.

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The COBRA Insurance website helps workers with their insurance options while in-between employers. If you have questions about choosing COBRA, please call our HealthCare.gov Certified Insurance Specialists.

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