What is a Special Enrollment Period?
A Special Enrollment Period (SEP) is a time during or outside the annual Open Enrollment Period (Nov. 1 through Jan. 15) when you can sign up for Individual and family health coverage if you've experienced a qualifying life event (QLE).
The coverage you need, the value you deserve
Did you know that 4 out of 5 Michigan residents could pay $10 or less per month1 for a MyPriority® plan? Fill out this short form and we'll provide Special Enrollment Period (SEP) information and guidance to help you select the best plan for your needs and budget. We'll share important deadlines, money-saving tips and the steps to take before and after enrolling.
Qualifying life events
A qualifying life event (QLE) is a change in your life situation that makes you eligible for a SEP. Here are examples of common QLEs:
- Losing your job, leaving your job or retiring early
- Losing COBRA coverage
- Losing Medicaid or Children's Health Insurance Program (CHIP) coverage
- Moving
- Getting married or divorced
- Death of a policyholder
- Birth, adoption, foster care or otherwise gaining a dependent
- Turning 26 and losing coverage under a parent's plan
- Becoming a U.S. citizen
- Leaving incarceration
How does a Special Enrollment Period work?
There are many important things to keep in mind about a SEP:
- In most cases, you will only have 60 days before or after your QLE to enroll in a plan.
- You may be asked to provide documentation to confirm that you qualify, such as a marriage certificate or proof that you've moved.
- Your coverage will start when you enroll in a plan, but you can't use it until you confirm you qualify and pay your first premium.
- Voluntarily canceling health coverage or having your plan terminated for not paying your premium is not considered a QLE and does not qualify you for a SEP.
See why members love MyPriority
With $0 preventive care, a large network and 24/7 virtual urgent care, it's no wonder more than 89%2 of members stay with a MyPriority plan year over year. MyPriority plans also include:
- Award-winning3 customer service
- Chronic condition and diabetes management
- Cost Estimator and PriceMyMeds to estimate the cost of health care services and prescriptions based on your specific plan
- Low prescription copays4
- On-demand mental health support