Northeast SEPs

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.

States: MD, NJ, NY, VA

Road map on lapatop

Maryland Emergency Declaration - Inclement Weather

Special Enrollment Period: Maryland Emergency Declaration - Inclement Weather

Please be advised that a state of emergency was declared, impacting individuals in certain Maryland 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 Maryland.

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: Caroline, Cecil, Dorchester, Kent, Queen Anne's, Somerset, Talbot, Wicomico, Worcester City to include Ocean City

Incident Period: The incident period occurred on January 28, 2022. The declaration was announced on January 28, 2022.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until March 31, 2022.

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

New Jersey Emergency Declaration - Inclement Weather

Special Enrollment Period: New Jersey Emergency Declaration - Inclement Weather

Please be advised that a state of emergency was declared, impacting the individuals in all New Jersey 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 the impacted counties in New Jersey.

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 January 28, 2022. The declaration was announced on January 28, 2022.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until March 31, 2022.

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


New York Emergency Declaration - Inclement Weather

Special Enrollment Period: New York Emergency Declaration - Inclement Weather

Please be advised that a state of emergency was declared, impacting individuals in certain New York 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 New York.

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: Bronx, Kings, Nassau, New York, Putnam, Queens, Richmond, Rockland, Suffolk, Westchester, Contiguous Counties

Incident Period: The incident period occurred on January 28, 2022 through February 27, 2022. The declaration was announced on January 28, 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.

Virginia Emergency Declaration - Inclement Weather

Special Enrollment Period: Virginia Emergency Declaration - Inclement Weather

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

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 January 27, 2022 through February 26, 2022. The declaration was announced on January 13, 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 OCCUR?

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.