QUESTION

Due to a natural disaster, I no longer have access to documents I need to verify my eligibility for a special enrollment period, and won’t make the Marketplace’s 30-day deadline to submit them. What should I do?

Individuals with no coverage | Open and Special Enrollment Periods |
ANSWER

Contact the Marketplace Call Center (HealthCare.gov) at 1-800-318-2596 (TTY: 1-855-889-4325) right away and ask for an extension to submit your special enrollment period documents. Note that if your special enrollment opportunity is due to a loss of coverage, the Marketplace allows you to submit a letter explaining the type of coverage you had, why and when you lost your coverage, and reasons why you can’t submit the documents. (CMS, Special Enrollment Periods, SEP Verification, and Complex Case Scenarios, April 2023; Special Enrollment Periods (SEPs) Information.)

Individuals with no coverage
Individuals with coverage
Coverage for small employers
Post enrollment issues