Thursday, March 2, 2017

Special Enrollment (SEP) for Individual Health Insurance Eligibility



Individual Health Insurance is Still Available for Those Who Qualify For Life Event Special Enrollment.




If you were unable to get health insurance due to changing life events or circumstances beyond your control, call us for immediate help. Work with local agents and avoid the problems of call service centers. Our personal service enables you to have contacts that stay familiar with you and your needs.

(708) 754-1221

Following is a description of eligible situations that you may fall under that may have become an obstacle in obtaining individual medical insurance. As circumstances are unique, if you do not see one related to you, feel free to contact us for a Free Review of your issue and assistance in obtaining the health care plan for you.

LOSS OF HEALTH INSURANCE

  • Losing health insurance for any reason except not paying your premiums
  • Losing eligibility for Medicare, Medicaid, or Children's Health Insurance Program
  • Turning 26 and losing coverage through a parent's medical plan
CHANGES IN HOUSEHOLD
  • Marriage or divorce
  • Having a baby or adopting a child
  • Losing coverage due to a family member's death
CHANGES IN RESIDENCE
  • Moving to a different zip code or county
  • Being a student moving to or from school
  • Seasonal worker moving to or from a work location
  • Moving to or from a shelter or transitional housing
OTHER QUALIFYING EVENTS
  • Becoming eligible for Medicaid
  • Becoming eligible for tax credits that will lower your premiums, if already on ACA plan
  • Gaining membership in a federally recognized tribe
  • Becoming a U.S. citizen
  • Leaving jail or prison
EXCEPTIONAL CIRCUMSTANCES
  • You faced a serious medical condition or natural disaster that kept you from enrolling
  • An unexpected hospitalization or temporary cognitive disability, or were otherwise incapacitated
  • A natural disaster such as an earthquake, massive flooding or hurricane
ENROLLMENT OR PLAN INFORMATION DISPLAY ERRORS

  • Misinformation, misrepresentation, misconduct or inaction of someone working in an official capacity to assist you in enrollment (ex: insurance company, navigator, certified application counselor, or agent/broker kept you from
  1. Enrolling in a plan
  2. Enrolling in the right plan
  3. Getting the premium tax credit or cost-sharing reduction you were eligible for
  4. A technical error occurred when you applied on HealthCare.gov
  5. Your insurance company was prevented from receiving your enrollment information
  6. The incorrect data was displayed at HealthCare.gov at the time you selected your health plan

For
Contact Us Today!

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