Webinar OE5: Post-Open Enrollment Issues

In this Health Reform: Beyond the Basics webinar presented on December 20, 2017, Tara Straw, Senior Policy Analyst, Shelby Gonzales, Senior Policy Analyst, and Halley Cloud, Health Outreach Manager, focus on post-open enrollment issues such as: 1) the new rule that allows insurers to demand payment of past-due premiums before 2018 coverage can be effectuated; 2) tips on resolving data-matching issues; and 3) information on certain special enrollment periods that are available now that open enrollment has ended for most states.

Presentation Slides

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Past-Due Premiums

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Collection of past premium debt (video section, slides)

  • Notification requirement

Grace period rules:

  • Health coverage
  • Reconciliation

Examples: (video section, slides)

  • General collection of past premium debt
  • Inside grace period during open enrollment
  • Loss of APTC during the enrollment year

Avoiding/Handling Collection of Past Premium Debt


Resolving Data-Matching Issues

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Key considerations:

  • Income DMIs
  • Immigration or citizenship DMIs


Common Special Enrollment Periods Available Now

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States with extended open enrollment periods

Enrollment past December 15: Common SEPs available now




Additional Resources

Resources | View resources links

Key Facts: Past-Due Premiums in the Marketplace | View key facts

Webinar: Preventing and Resolving Data-Matching Issues | View webinar

Special Enrollment Period Reference Chart | View reference chart

Fact Sheet: Discontinued 2017 Marketplace Plans | View fact sheet

Explainer: Auto-Renewal Process for 2018 | View video

Beyond the Basics Webinar Series | View all webinars

Key Facts About Health Reform | View all key facts