Special Enrollment Periods

Individuals and families can enroll in a private health plan after January 31, 2016 if they have had a Qualifying Life Event.

Qualifying Life Events Eligible for a Special Enrollment Period:

  • Loss of minimum essential coverage
  • Marriage or domestic partnership, birth, adoption, or placement in foster care
  • Becoming a citizen, national, or lawfully present individual
  • For those already enrolled in a QHP, becoming newly eligible or ineligible for tax credits; or eligible for a different amount of cost sharing reductions
  • Permanent move to NY, or permanent move from one county to another within NY
  • Marketplace staff or contractor enrollment error
  • Assistor misconduct
  • Qualified Health Plan violated a provision of its contract
  • American Indians can enroll or change plans one time per month throughout the year
  • Other exceptional circumstances, as defined by HHS.

Not considered a Qualifying Life Event:

  • Voluntarily dropping other health coverage
  • Being terminated for not paying your premiums
  • Losing coverage that is not minimum essential coverage, in accordance with HHS guidelines

Call our Customer Support Center at 1-855-355-5777 for more information and help applying.