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(SEP) SPECIAL ENROLLMENT PERIOD

Special Open Enrollment Period

SPECIAL ENROLLMENT PERIOD ENDED

THE SPECIAL ENLOLLMENT PERIOD ENDED

We Offer Brand-Name Health Plans. Now is time to Shop Plans Like the HealthCare for your needs in the time of an emergency or regular Dr. visits.
Find The Right Plan that fits for you and family. It is a short period of time! The Open Enrollment is Open now. Above the account & enrollment.
What is a special enrollment period?
public Health Emrgency & Covid
Eligible consumers can sign up through a special enrollment window if they experience a qualifying life event.
You can apply for a health plan outside open enrollment (or make changes to your current plan) if you’ve experienced one of these qualifying life events, usually within the last 60 days. Or, find out if you qualify for Medi-Cal.
 
Although there are many life changes that would allow consumers to enroll in quality health coverage through Covered California right now.
 
I want to highlight some of the more common qualifying life events and those available due to the ongoing public health emergency: 
  • Public Health Emergency Extension and

       In response to continued impacts of the COVID-19 pandemic. The U.S. Health and         Human Services Agency on 7/18/2022 extended The National Public Health                     Emergency (PHE) an additional 90 days through October 13, 2022

  • A national public health emergency currently exists, as proclaimed by the Health and Human Services Agency

  • California State of Emergency & SEP Reminders

  • Californians affected by a natural or human-caused disaster that results in a Governor’s State of Emergency proclamation may qualify for a Special Enrollment Period (SEP) for 60 days from the date of the proclamation under the exceptional circumstances qualifying life event (QLE). This includes the recent wildfires in impacted counties & The Recent Public Health Emergency Proclamation for the Monkeypox outbreak and the State of Emergency proclamations for wildfires in impacted counties.

Anchor 1
MOVE WITHIN CALIFORNIA
Move Within California
 
  • You move to California from out of state.

  • You move within California and gain access to at least one new Covered California health insurance plan.

A CHILD IS BORN OR ADOPTED
A Child is Born or Adopted
 
  • A child is born, adopted or received into foster care. The entire family can use the special-enrollment period to enroll in coverage.

  • If you receive a child in foster care, you will need to indicate “adopted a child” in the drop-down menu when you apply.

  • For the birth or adoption of a child, or acceptance of a child into foster care, you can choose to have coverage start on: 

 

  1. The first day of the month following the birth, adoption, or placement in your foster care of a child.

  2. On the date of the birth, adoption or placement in foster care.

  3. On the first day of the month following plan selection. 

Married or Entered into Domestic Partnership
Married or Entered into Domestic Partnership
 
  • One or both members of the new couple can use the special-enrollment period to enroll in coverage.

Turned 26 Years Old
Turned 26 Years Old
 
  • You turn 26 years old and are no longer eligible for a parent’s plan.

Lost or Job Income
Lost or Job Income
 
  • If you lost your job-based coverage, your coverage will start on the first day of the month after you select a plan.

Lost Health Insurance
Lost Health Insurance

 

  • You lose Medi-Cal coverage.

  • You lose your employer-sponsored coverage.

  • Your COBRA coverage is exhausted. Note: Not paying your COBRA premium is not considered loss of coverage.

  • You are no longer eligible for student health coverage.

  • You turn 19 years old and are no longer eligible for a child-only plan.

Current Employees who Experience a Life Event
Current Employees who Experience a Life Event
 
  • You are already enrolled in a Covered California plan and become newly eligible or ineligible for tax credits or cost-sharing reductions.  

  • You are already enrolled in a Covered California plan and you lose a dependent or lose your status as a dependent due to divorce, legal separation, dissolution of domestic partnership, or death.

Gain Citizenship or Lawful Presence
Gain Citizenship or Lawful Presence

 

  • You become a citizen, national, or lawful permanent resident.

Return from Active Military Service
Return from Active Military Service
 
  • You have lost coverage after leaving active duty, reserve duty, or the California National Guard.

Change of Household Size
Change of Household Size

 

  • Any Family Member or any person moved within the same address location under the same household.

Affected by Wildfires
Affected by Wildfires

 

  • Your household experienced a natural or human-caused disaster (such as wildfires) declared as a state of emergency in California.

Domestic Abuse or Spousal Abandonment
Domestic Abuse or Spousal Abandonment
 
  • Survivors of domestic abuse or spousal abandonment qualify for special enrollment. Keep in mind the following details when applying for coverage through Covered California.   

  • For New Consumers
  • Marital Status: Applicants who select “married” are required to enter spousal information on their enrollment applications. To avoid the requirement to enter spousal information, you are allowed to enter “single” as your marital status on your Covered California application, despite being married.

  • Tax Filing Status:  If you claim a dependent child (natural child, stepchild, or foster child) on your tax returns, enter “head of household” as your tax filing status on your Covered California application.  If you do not claim dependents, enter “single.” 

  • Do not enter “married filing jointly” or “married filing separately.”

  • Do not enter your spouse’s income.

  • If you apply for coverage and receive federal tax credit and/or state premium assistance to lower the cost of your health plan, you will be required to complete IRS Form 8962 and/or FTB Form 3849 when you file your federal and state tax returns.  At tax time, if you are still married, check the first box on IRS Form 8962 and FTB Form 3849 to get the exception for domestic abuse survivors from having to file jointly. This allows you to file your federal and state tax returns as “married filing separately” and ensures you qualify for federal tax credit and/or state premium assistance for health coverage at tax time.

  • For Consumers with Current Medi-Cal Coverage
  • If you, your children, or other members of your household currently have Medi-Cal coverage and you would like to discuss removing a partner from your case or coverage, please contact your county Medi-Cal office.

  • For Current Covered California Consumers
  • To remove a partner or dependent from an existing case, or to establish separate coverage, please contact the Service Center for assistance at (800) 300-1506.