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SEP Reference Chart

A Guide to Special Enrollment Period (SEP) Triggers and Timing

Updated June 2018 

The Marketplace open enrollment period is the regular time each year when people can newly enroll in a qualified health plan or change to a different plan through the Marketplace. But certain events that occur during the year can trigger a special enrollment period (SEP), when a person may be able to newly enroll in a Marketplace plan or change to a different plan.

This SEP Reference Chart is a tool for those who are helping people enroll in health coverage through a special enrollment period. It focuses on the circumstances that trigger a SEP in the Marketplace, who can trigger a SEP, and the effective date of coverage once a health plan is selected.

 


Additional Resources

Webinar OE5: Special Enrollment Periods | View webinar

Update: Changes to SEPs Effective June 19, 2017 | View update

Update: Notice of Benefit and Payment Parameters for 2019 Final Rule | View update

Minimum Essential Coverage Reference Chart | View chart