Special Enrollment Period Updates

Online Enrollment

You spoke, and we listened. We’ve updated the online enrollment form posted on Your Health Alliance for brokers and employers with the following Special Enrollment Period (SEP) qualifying events.

• Involuntary loss of eligibility (termination or reduction in hours)
• Going from non-benefits eligible to benefits eligible (part-time to full-time employment)

Another Your Health Alliance update is that employers and brokers can once again print temporary ID cards for members.

New SEP Effective Date for Small Groups

We are changing the effective date for small group members who have an involuntary loss of coverage SEP due to any of these qualifying events.

• Termination of employment
• Reduction in hours
• Termination of employer contributions
• Termination in a class of coverage
• Notice of the loss of minimum essential coverage

Previously, the effective date for these qualifying events was based on the date we received the application. We’ve heard your feedback that this is confusing for employer groups, and the process creates a gap in coverage for members.

Starting with qualifying events on or after April 1, applications for this qualifying event will be processed with an effective date of the day after the qualifying event.

Other SEP Updates

• We are creating SEP fliers to outline coverage effective dates for all qualifying events for all our group products. These fliers should be completed in early April, and we’ll let you know when they’re ready for you to use.
• If a commercial fully insured group member experiences an event that qualifies them for an SEP and the group offers more than one plan, the member must be offered all the benefit packages available to similarly situated individuals who enroll when first eligible.

If you have questions, call Broker Support at 1-877-917-8489 or email BrokerServices@healthalliance.org.