You can only enroll in an Individual and Family Plan outside of the annual Open Enrollment Period (November 1 to January 15) 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 from January 16 to October 31.
Scroll down to learn more.
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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