Required documentation for special enrollment period
A special enrollment period (SEP) is a 60-day period during which an eligible individual may enroll in an individual plan or change from one plan to another as a result of one of the following triggering events.
- Loss of minimum essential coverage or loss of federal program eligibility
- Gaining or becoming a dependent
- Access to new individual plan due to permanent move
- Change in eligibility for on-exchange coverage—losing advance premium tax credit (APTC) or cost-sharing eligibility only
- Enrollment or plan error
- Domestic abuse or spousal abandonment
If changing from one plan to another, the individual must stay within the same metal level of coverage as their current plan offering.
The list below are examples of events and documentation. It is not a complete list.