The Navigator Resource Guide has not been updated for 2025 Open Enrollment. For more current information please visit:
cms.gov/marketplace/in-person-assisters/information-partners.
QUESTION

I’m eligible for health benefits at work, but I didn’t turn in my enrollment papers on time during the company’s open enrollment, so now I’m not covered. Can I get a policy in the Marketplace instead? Can I apply for premium tax credits?

Individuals with coverage | Coverage for Employees of a Large Employer |
ANSWER

If you missed your opportunity to enroll in your employer plan during the company’s open enrollment season, you may apply for coverage in the Marketplace during open enrollment, which runs from November 1, 2023 to January 16, 2024 in most states. You can also apply for premium tax credits but you will have to provide information on the health coverage you are eligible for at work, even if you’re not enrolled in the plan. If the plan offered meets standards for affordability and minimum value, you will not be eligible for premium tax credits or cost-sharing reductions. (26 U.S.C. § 36B).

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