Individual Open Enrollment

Open enrollment for Affordable Care Act (ACA) compliant plans is just around the corner. The Marketplace (also known as an exchange) will officially open to consumers on October 1, 2013.

For states that are defaulting to the Federal Exchange, such as Missouri, federal guidelines guarantee only one open enrollment period per year, at which time an individual can apply for any plan available in the Marketplace. The initial annual open enrollment period will be an extended six-month period and take place from October 1, 2013 to March 31, 2014.

Special Enrollment Periods

Special enrollment periods accommodate individuals who will be applying for ACA compliant coverage outside of the initial open enrollment period. Such examples include:

  • Individuals who are currently covered under a non-grandfathered plan, and will be moving to an ACA compliant plan at their current policy renewal date.
  • Loss of essential health coverage
  • Change of family status, including marriage, birth, adoption, death
  • Subsidy eligibility change
  • Move to a different coverage area

Open Enrollment Moving Forward

In subsequent years, the open enrollment period will be held from October 15 to December 7, shadowing Medicare open enrollment. If an individual does not enroll during this time, or does not have a qualifying event or special enrollment period, they will be required to wait to obtain coverage until the following open enrollment period, and may be subject to a tax penalty.

Do you need assistance in determining your enrollment period? Contact a Caravus Individual Market Consultant for more information.