PowerPoint Presentation€¦ · Scenario QHP Effective Date Reported within 60 days before coverage...
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Transcript of PowerPoint Presentation€¦ · Scenario QHP Effective Date Reported within 60 days before coverage...
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Scenario QHP Effective Date
Reported within 60 days before coverage will end
1st day of month following
coverage end date
Reported within 60 days after coverage ended
1st of the month following
enrollment
*COBRA – has ended or contributions by the employer have
ended. Note: COBRA ended voluntarily by the member is NOT
a QLE
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QHP Effective Date Timing
Marriage 1st of the month following enrollment Up to 60 days AFTER marriage
Birth, adoption, placement
for adoption or foster care or
other court order
Coverage will go back to the date of
birth, date of adoption, foster care
placement, or date the court order
took effect.
Up to 60 days AFTER birth, adoption,
foster care placement, or court order
Pregnancy Coverage will go back to the first of
the month in which pregnancy is
certified
Up to 30 days AFTER attested
pregnancy certification date
Gaining a lawfully present
immigration status Follows “15 day rule” Up to 60 days AFTER gaining status
American Indian or Alaska
Native status
Follows “15 day rule” May enroll in or change QHPs one
time per month any time during the
year
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QHP Effective Date Timing
Change in income/household size
and has currently active coverage
through AHCT
1st of month following change in
eligibility Up to 60 days AFTER eligibility
determination
Permanent Move to Connecticut from
another US state Follows “15 day rule”
Up to 60 days AFTER movePermanent move to Connecticut from
a foreign country or US territory
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Special Enrollment Period (SEP) Rules SEP Ef ectivates
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