ObamaCare Special Enrollment

Posted by on Jul 3, 2014 in Important News | 0 comments

It is not too late to enroll in the Covered California Exchange, “ObamaCare”. If any of the following “life events” happen you may enroll outside of the open enrollment period:


 A qualified individual or dependent loses Minimum Essential Coverage (MEC) (this is defined in greater detail here);

 A qualified individual gains a dependent or becomes a dependent through marriage, birth, adoption or placement for adoption;

 An individual who was not previously a citizen, a national or a lawfully present individual gains such status which makes them newly eligible for coverage;

 A qualified individual’s enrollment or non-enrollment in a Covered California Health Plan is unintentional, inadvertent or erroneous and is the result of the error, misrepresentation or inaction of anyone involved with Covered California or the Department of Health and Human Services;

 An enrollee adequately demonstrates to Covered California that the Covered California Health Plan in which he or she is enrolled substantially violated a material provision of its contract in relation to the enrollee;

 An individual is determined newly eligible or newly ineligible for premium assistance or has a change in eligibility for cost-sharing reductions, regardless of whether the individual is already enrolled in a Covered California Health Plan;

 An individual whose existing coverage through an eligible employer-sponsored plan will no longer be affordable or provide minimum value; and

 A qualified individual or enrollee gains access to Covered California Health Plans as a result of a permanent move.

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