NEW SEPS ANNOUNCED THIS LAST 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.
NEVADA FIRES
Declared Special Enrollment Period: Nevada Fires
Please be advised FEMA has declared that individual and public assistance is available in areas impacted by Fires in certain Nevada counties. This 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 Nevada listed below.
Important Compliance Information
Who is Eligible:
This SEP opportunity is ONLY available to beneficiaries who:
- Reside/resided in, or whose caretaker resides/resided in, one of the affected counties at the start of the incident period where Federal Emergency Management Agency (FEMA) declared as being eligible to apply for assistance.
- 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 June 9, 2021.The declaration was announced on June 9, 2021.
Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until August 31, 2021.
*Note: Eligible enrollments will be effective the first of the month after the application has been processed.
UTAH FIRES
Declared Special Enrollment Period: Utah Fires
Please be advised FEMA has declared that individual and public assistance is available in areas impacted by Fires in certain Utah counties. This 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 Utah listed below.
Important Compliance Information
Who is Eligible:
This SEP opportunity is ONLY available to beneficiaries who:
- Reside/resided in, or whose caretaker resides/resided in, one of the affected counties at the start of the incident period where Federal Emergency Management Agency (FEMA) declared as being eligible to apply for assistance.
- 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 June 5, 2021.The declaration was announced on June 5, 2021.
Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until August 31, 2021.
*Note: Eligible enrollments will be effective the first of the month after the application has been processed.
ARIZONA FIRES
Declared Special Enrollment Period: Arizona Fires
Please be advised FEMA has declared that individual and public assistance is available in areas impacted by Fires in certain Arizona counties. This 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 Arizona listed below.
Important Compliance Information
Who is Eligible:
This SEP opportunity is ONLY available to beneficiaries who:
- Reside/resided in, or whose caretaker resides/resided in, one of the affected counties at the start of the incident period where Federal Emergency Management Agency (FEMA) declared as being eligible to apply for assistance.
- 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 June 6, 2021.The declaration was announced on June 6, 2021.
Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until August 31, 2021.
*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 WERE DECLARED IN 2021?
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.