Agents are encouraged to use caution to distinguish between the guidance in effect for each disaster. *Always verify details as events are continuously updated.
LOUISIANA
Special Enrollment Period: Louisiana Emergency Declaration – Hurricane Nicholas
Please be advised that a state of emergency was declared, impacting individuals in all Louisiana counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the impacted counties in Louisiana listed below.
Important Compliance Information
Who is eligible:
This SEP opportunity is ONLY available to beneficiaries who:
- Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
- Were eligible for another election period at the time of the SEP eligibility period, and;
- Did not make an election during that other valid election period due to the disaster or other emergency.
Details:
Impacted Counties: All Counties
Incident Period: The incident period occurred on September 12, 2021 through October 11, 2021. The declaration was announced on September 12, 2021.
Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until December 31, 2021.
*Note: Eligible enrollments will be effective the first of the month after the application has been processed.
Reminders:
Agents can accept/submit an application by the beneficiary’s request through the following steps:
- Obtain a compliant Consent to Contact (C2C).
- Capture a compliant Scope of Appointment (SOA).
- Host a compliant 1:1 appointment.
- If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the Natural Disaster option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.
TEXAS
Special Enrollment Period: Texas Emergency Declaration – Hurricane Nicholas
Please be advised that a state of emergency was declared, impacting individuals in certain Texas counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the impacted counties in Texas listed below.
Important Compliance Information
Who is eligible:
This SEP opportunity is ONLY available to beneficiaries who:
- Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
- Were eligible for another election period at the time of the SEP eligibility period, and;
- Did not make an election during that other valid election period due to the disaster or other emergency.
Details:
Impacted Counties: Aransas, Brazoria, Calhoun, Chambers, Galveston, Harris , Jackson, Jasper, Jefferson, Matagorda, Montgomery , Newton, Nueces, Orange, Refugio, San Patricio and Victoria Counties
Incident Period: The incident period occurred on September 13, 2021. The declaration was announced on September 13, 2021.
Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until November 30, 2021.
*Note: Eligible enrollments will be effective the first of the month after the application has been processed.
Reminders:
Agents can accept/submit an application by the beneficiary’s request through the following steps:
- Obtain a compliant Consent to Contact (C2C).
- Capture a compliant Scope of Appointment (SOA).
- Host a compliant 1:1 appointment.
- If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the Natural Disaster option or writing “Severe Weather” in the “Other” option. WARNING! Only select one election type.