A special enrollment period (SEP) is now required in order to enroll in or change a qualified health plan. The steps for enrollment differ depending on a consumer’s situation. It is important to review the SEP process on the Assister Central in the Helping Consumers section: /assister-central/helping-consumers/sep/index.jspSpecial Enrollment Period prior to assisting consumers with this process.

Verification is required to prove the type of coverage lost and the last date of coverage. If documents indicate a voluntary termination or term for non-payment of premiums, the SEP will be denied.

Submit a copy of at least one of the documents listed to confirm this qualifying event:

• Letter from health insurance company that indicates the type of coverage lost and the last date of coverage.
• Letter from employer indicates the type of coverage lost and the last date of coverage
• Employer plan notice that indicates the type of coverage lost and the last date of coverage

Documents must show a loss of qualifying health coverage in the past 60 days or that the consumer will lose coverage in the next 60 days. These documents must include the consumer’s name, the coverage type and the last day of coverage.