ARC representatives are unable to advise if a consumer has a qualifying event for a special enrollment period (SEP) until the following happens:

• The questionnaire in the online enrollment platform is completed to report the event and date of the event
• Verifications, if needed, are submitted and reviewed by the ARC representative

The ARC receives calls daily asking hypothetical questions about if a client’s scenario qualifies them for a SEP. It is impossible for staff at the ARC to answer these types of questions without the appropriate steps being taken. Every situation is different, especially when relating to SEPs that require verification documents.

Please understand that ARC representatives are not trying to be vague when they advise that they cannot answer hypothetical questions. They are trying to prevent difficult conversations when a consumer is expecting to be able to enroll and cannot.

For information about qualifying life events and instructions about applying for a SEP, visit /assister-central/helping-consumers/sep/index.jspHelping Consumers on Assister Central.