Health Insurance Marketplace (obamacare) Phase 2 of the Special Enrollment Period Pre-Enrollment Verification (SEPV) process begins tomorrow. Consumers who qualify for a Special Enrollment Period (SEP) because of the list below will now be subject to pre-enrollment verification:

• Loss of Coverage
• Permanent Move
• Marriage
• Gaining or becoming a dependent through adoption, placement for adoption, placement in foster care, or a child support or other court order
• Medicaid/Children’s Health Insurance Program (CHIP) denial

Consumers have 60 days from the date of their SEP-qualifying event to enroll, change plans, or add their new dependent(s) to their current coverage. However, consumers must submit documents to confirm eligibility for their SEP within 30 days of their plan selection.

An SEP Verification Issue (SVI) will be created when new applicants qualify for an SEP that’s subject to pre-enrollment verification. Before their enrollment is finalized, consumers must submit documents that confirm their eligibility for the SEP.

Special enrollment periods (SEPs) information at CMS

• Special Enrollment Period Verification Phase 2: Helping consumers resolve additional SVI types
• 5 Things Assisters, Agents, and Brokers Should Know About SVIs
• Understanding Special Enrollment Periods
• Special Enrollment Period (SEP) Pre-enrollment Verification: Phase 2 Overview – August 2017 (slides)
• Special Enrollment Period (SEP) Pre-enrollment Verification Overview – June 2017 (slides)
• Special Enrollment Period (SEP) Overview for the Federally-facilitated Marketplace – April 2017 (slides)
• Special Enrollment Confirmation Process: An Introduction for Marketplace Assisters – June 15, 2016 (slides)
• Medicaid Coverage Gap SEP – April 29, 2016 (slides)
• Helping Newlyweds Enroll in the Marketplace Outside Open Enrollment – posted July 8, 2014
• Helping Consumers Enroll in Special Enrollment Periods in the Health Insurance Marketplace – updated May 29, 2014
• Special Enrollment Period (SEP) and Hardship Exemptions for AmeriCorps Members – posted May 6, 2014
• Helping Consumers Report a Life Event or Change in Circumstances after Open Enrollment – February 7, 2014 – Revised April 18, 2014 – Revised April 2, 2015 (slides)