New SEPs This Week

New SEPs announced this week

Agents are encouraged to use caution to distinguish between the guidance in effect for each disaster. *Always verify details as events are continuously updated.

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Texas Emergency Declaration - Inclement Weather

Special Enrollment Period: Texas Emergency Declaration - Inclement Weather

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 following counties in Texas.

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: Bosque, Dallas, Delta, Denton, Ellis, Fannin, Grayson, Hopkins, Hunt, Johnson, Kaufman, Lamar, Navarro, Rains, Red River, Rockwall, Williamson

Incident Period: The incident period occurred on February 3, 2022. The declaration was announced on February 3, 2022.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until April 30, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Kentucky Emergency Declaration - Inclement Weather

Special Enrollment Period: Kentucky Emergency Declaration - Inclement Weather

Please be advised that a state of emergency was declared, impacting individuals in all Kentucky 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 all counties in Kentucky.

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 February 2, 2022. The declaration was announced on February 2, 2022.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until April 30, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Arkansas Emergency Declaration - Inclement Weather

Special Enrollment Period: Arkansas Emergency Declaration - Inclement Weather

Please be advised that a state of emergency was declared, impacting individuals in all Arkansas 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 all counties in Arkansas.

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 February 1, 2022. The declaration was announced on February 1, 2022.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until April 30, 2022.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Who qualifies for the SEP when disasters or emergencies?

Effective January 1, 2021, an SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections.

Individuals are eligible for this SEP if they:

  • Reside, or resided at the start of the SEP eligibility period, 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.

The SEP starts as of the date the declaration is made, the incident start date or, if different, the start date identified in the declaration, whichever is earlier. The SEP ends two (2) full calendar months following the end date identified in the declaration or, if different, the date the end of the incident is announced, whichever is later.