In this webinar presented on July 7, 2017, Shelby Gonzales, Senior Health Policy Analyst, and Halley Cloud, Heath Outreach Manager, discuss 2017 changes to special enrollment periods (SEPs) and provide a detailed explanation of the new pre-enrollment verification process for SEPs.

Presentation Slides

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Review of Special Enrollment Periods

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SEP overview

 

Changes to SEP Eligibility and Use

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Prior coverage requirement for marriage SEP

Restrictions on plan selection for current Marketplace enrollees (video section, slides)

 

SEP Pre-Enrollment Verification Process

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SEP verification issue (SVI)

• SEPs subject to pre-enrollment verification

General process (video section, slides)

• Notices
• Coverage effective dates once SVI is resolved

List of documents to resolve SVI (video section, slides)

• Loss of other coverage
• Permanent move

 

Complex example

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SVI vs. data-matching issue vs. identity proofing

• Example: SVI and DMI (video section, slides)

Resources:

• Documents to resolve an SVI
• SEP Reference Chart
• General resources

 

Q&A

 

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Additional Resources

SEP Reference Chart | View resource

Webinar: Overview of Changes in the Marketplace | View webinar

Webinar: Supporting Assisters in Uncertain Times | View webinar

Beyond the Basics Webinar Series | View all webinars

Key Facts About Health Reform | View all key facts