Special Enrollment Health Coverage Application
Your clients may be asked to provide documents to confirm that they qualify for a Special Enrollment Period if they qualify due to a life event. These documents must be submitted before coverage begins.
Special Enrollment Health Coverage Application
- A client’s eligibility notice will tell you if you need to provide documents after you submit an application.
- If you choose a plan first, you have 30 days to submit your documents.
- The start date of your coverage depends on when you pick a plan, but coverage does not begin until your first premium payment is received.
- You don’t need to submit documents if your eligibility notice doesn’t require you to. Just choose a plan and enroll.
If the client has lost or is about to lose health coverage, what should be done?
In the event that the client has already lost insurance coverage, you must:
- Within 60 days of the end of coverage, choose a new plan.
- Documents must be submitted within 30 days of picking a plan.
Once you select a plan, your coverage will begin on the first day of the month.
In the event that the client anticipates losing coverage in the future, you must:
- Choose a plan within 60 days of the end of your coverage.
- Documents must be submitted within 30 days of selecting a plan.
After existing coverage ends, new coverage will begin on the first day of the following month.
If the client has lost or is about to lose health coverage, what should be done?
Get a full list of acceptable documents to confirm loss of coverage as soon as possible after you pick a plan.
Online document uploading
- You can submit your documents faster this way.
- The documents must be scanned or photographed clearly.
- The following requirements must be met by all documents:
- We accept the following formats: .pdf, .jpeg, .jpg, .gif, .xml, .png, .tiff, .bmp
- Maximum file size: 10MB
- You cannot use special characters in file names such as / / : ? / ” < >
- You can upload the documents once they are on your computer by logging TrueCoverage.com.
As soon as your documents are submitted
If the Special Enrollment Period is confirmed, the client should receive a letter in a couple of weeks.
- We’ll let you know which insurance plan you selected.
- Insurance coverage won’t begin until the first premium is paid directly to the insurance company.
You may have to pay premiums for one or more previous months if confirmation delays prevented you from using your policy after the start date. Once you do, medical expenses after the start date may be covered.
In the event that your Special Enrollment Period cannot be confirmed:
- Your account will be notified of the reason.
- To confirm, you can upload different documents.
Learn more about what to include in the statement if you do not have any of the acceptable documents.
