Affordable Care Act Enrollments – Qualified Life Events…

Open Enrollment is Closed for 2014

Affordable Care Act Qualified Life Events
What are your options after March 31, 2014

Hard to believe that the first Open Enrollment period for American’s to enroll in an Affordable Care Act Compliant health plan closed almost 6 weeks ago.  For many Americans this first Open Enrollment Window came and went without most people giving it a second thought.  Supposedly millions of Americans swarmed to the Governments website healthcare.gov to only become more frustrated than they were before.  For others they simply did not care one damn bit about all the ACA hoopla.  And such – millions more did nothing.  Others – they at least tried to wrap their heads around the whole subject only to have their heads explode.

So what does all this mean for you and I?  Well simply put if you want to enroll in a qualified health plan and you missed the first enrollment period you must wait until November 15th of this year for another bite at the apple for 2015.  For those of you who may be experiencing what is now called a “Qualified Life Event”  you may be in luck depending on when your Life Event occurs you may be able to enroll prior to the next Open Enrollment period.

When you experience a qualifying life event, you are able to enroll in a new health insurance plan or change your plan within 60 days of the event.  A qualified life event is a change in your life that can make you eligible for a Special Enrollment Period to enroll in health coverage.   Simple examples of qualifying life events are moving to a new state, certain changes in your income, and changes in your family size (for example, if you marry, divorce, or have a baby).  Below is a list of events that open the door for you to enroll outside the open enrollment periods

  • No longer being covered by your parents’ plan
  • Moving to a new area
  • Having a baby or adopting a child
  • Getting married or divorced
  • Losing your other health insurance
  • Gaining status as a member of an Indian tribe
  • Gaining citizenship
  • Leaving incarceration
  • Return from Military Active Duty


In Addition companies like Assurant Health are now accepting the following triggering event as a Life Event:

  • Renewal of grandfathered or non-grandfathered individual major medical plan

assurant_logo_rbcoremedbrochureAssurant Health will accept this as a Life Event and if you have one of these two things happening you can enroll in an Assurant Health CoreMed Metal plan.  Depending on the state you live in some departments of insurance allowed their insurance companies to extend coverage for non-compliant health plans.  However this did not happen in all states.  These health plans are NOT part of the “Grandfathered” plans.  So if you receive a termination letter anytime in 2014 Assurant will consider this a life event making you eligible to enroll with Assurant for their CoreMed Metal series.

Second, if you are currently on a Grandfathered plan then you can make a change on your plans anniversary.  For many the rate increases that have been posted and more that are coming will in many cases force people out of these Grandfathered health plans.  This means that if your plans original effective date falls between March 31, 2014 and November 15, 2014 you do not have to wait until the next open enrollment period.  For many this is a good thing as so many people simply missed what was happening this first time around.

Take a moment and see what an Assurant Health CoreMed metal plan will cost you can your family by clicking on the blue button below.  If you are outside the open enrollment window and you do not have a qualified life event then give us a call and we can share with you other stop-gap measures or more permanent options that are available in your state.

Call us at (619) 435-6700 – remember… we are here to help!

Assurant Health CoreMed Plans
Assurant Health CoreMed Plans

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  1. Pingback: Open Enrollment for Affordable Care Act Scheduled for November… | Individual & Family Dental Plans

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