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In my town of Romeoville, Illinois or any other town in America, now that Open Enrollment under the Affordable Care Act has concluded, the only way to purchase Health Insurance is through a Special Election Period. Similar to an SEP in the Medicare Advantage world, there are several things that qualify you for this enrollment. Without a qualifying event, you cannot purchase insurance.

Here are a list of things that qualify for an SEP…

  1. Renewal of a grandfather or non-grandfathered individual major medical plan in 2014. HOWEVER, so far I am hearing only Assurant is honoring this type of SEP. The other carriers I have asked have said no.
  2. Return from active military duty
  3. Release from Prison
  4. Gain of immigration or citizenship status
  5. Permanent move to a different state

Loss of Minimum Essential coverage due to:

  1. Plan discontinued that did not meet Health Care Reform requirements
  2. Legal Separation or divorce
  3. Termination of domestic partnership or Civil Union ( in states where this applies)
  4. Change in full-time employment status
  5. Involuntary loss of employer sponsored health insurance
  6. Death of a parent or Spouse
  7. Change in dependent status as a result of turning 26

Gaining or becoming a dependent due to:

  1. Marriage
  2. Domestic Partnership
  3. Birth / adoption of Children
  4. Placement for adoption of children
  5. Guardian/court ordered dependent

You have 60 days from the date of the qualifying event.

In the event that the qualifying event is a renewal from a grandfathered or non-grandfathered plan, the renewal date will serve as the qualifying date.