2.9: Qualifying Events
ACA Qualifying Events
There are specific circumstances that will allow someone to enroll in a healthcare plan outside of the Open Enrollment Period. Called a Special Enrollment Period (SEP), the following events are considered acceptable reasons, or qualifying life events:
- job loss
- marriage or divorce
- loss of insurance coverage
- moving to a different zip code
- new baby
- death of a family member
- change in citizenship
- change in eligibility for the ACA subsidy
- government error
NOTE : an event is a qualifying event only if it would cause the qualified beneficiary to lose coverage under the plan.
Source: "Health Insurance." iSeniorBenefits.com. 2021.