Individual and Family Plans
Special Enrollment Period

You can only enroll in an Individual and Family Plan outside of the annual Open Enrollment Period (November through January) if you qualify for a Special Enrollment Period.

If you’ve recently lost health coverage or experienced another qualifying life event in the last 60 days, the Special Enrollment Period allows you to sign up for a new plan right away, regardless of the time of year.

The Special Enrollment Period runs February through October.

Scroll down to learn more.

Examples of Qualifying Special Enrollment Period Events

There are 4 basic types of qualifying life events (QLEs). The following are examples, not a full list.

Loss of health coverage

  • Losing existing health coverage, including job-based coverage, individual, and student plans
  • Losing eligibility for Medicaid, CHIP or Medicare
  • Turning 26 and losing coverage through a parent's plan

Changes in residence

  • Moving to a different ZIP code or county within Pennsylvania
  • A permanent move from another state into Pennsylvania
  • A student moving to or from the place they attend school
  • A seasonal worker moving to or from the place they both live and work
  • Moving to or from a shelter or other transitional housing

Changes in household

  • Getting married or divorced
  • Having a baby or adopting a child
  • Death in the family

Other qualifying events

  • Changes in your income that affect the coverage you qualify for
  • Gaining membership in a federally recognized tribe, or status as an Alaska native Claims Settlement Act (ANCSA) Corporation shareholder
  • Gaining a qualifying immigration status
  • Leaving incarceration (jail or prison)
  • AmeriCorps members starting or ending their service

Note: Some QLEs require verification to enroll during a Special Enrollment Period. Be prepared to provide supporting documentation for your application. Learn more at pennie.com.

Get Started
with Jefferson Health Plans

Speak with a licensed benefit advisor for help choosing the right plan for you. 1-833-608-0366 (TTY 711)

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