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Broker News | Vol. 11 No. 12
Broker News | Vol. 11 No. 12

Individual Market – Open Enrollment Application Deadlines and Special Enrollment Periods

When enrolling customers in metal-level or Qualified Health Plans (QHPs), please keep in mind the application deadlines for their coverage effective date:

  On-Exchange Off-Exchange
Open Enrollment Begins Marketplace opens for new enrollments November 1.

Marketplace opens to existing members to make plan changes and update eligibility starting November 16.  (Recertification)
November 1
Application Deadline for 1/1 Effective Date December 15

December 25

(10-day extension)

Application Deadline for 2/1 Effective Date January 15 January 15
Application Deadline for 3/1 Effective Date and Open Enrollment Ends January 31 January 31

 

We will continue to follow the existing enrollment cut-off dates for the majority of the 2017 Open Enrollment timeframe. However, off-exchange customers have been given a 10-day application extension for the month of December to ensure (1) they have a little extra time to get their applications submitted during the busy holiday season and (2) allow Excellus Health Plan, Inc. internal systems to accommodate larger year-end volume.  While we want to ensure our Brokers are aware of this extension, we would prefer to not discuss this with members until closer to December 15.

Getting Off Exchange Health Coverage with a Special Enrollment Period

We are pleased to provide our Brokers with specific information regarding qualifying events allowed under Special Enrollment Periods during the Individual Market open enrollment.  This document lists qualifying events and associated examples of required documentation along with any specific enrolment dates you need to be aware of.

Download - Getting Off Exchange Coverage with a Special Enrollment Period (PDF)

 

In addition, there are updated marketing materials available for you to order. You can contact Asia Burrows at asia.burrows@excellus.com to let her know which materials you are interested in and the associated county.

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