Special Enrollment

Qualifying Life Events for Special Enrollment

Special Enrollment Periods (SEP) do not apply if you lost coverage due to unpaid premiums, fraud, or intentional misrepresentation. You can report a loss of qualifying health coverage up to 60 days before it ends. If enrolling in Marketplace coverage for the first time, you may need to provide documentation.
 
Qualifying Life Events:
 
Loss of Health Coverage
  • Job-based coverage loss
  • Loss of Medicaid or NV Check UP
  • Loss of Medicare
  • Expiration of an off-Marketplace plan
  • Turning 26 and aging out of a parent’s plan
Household Changes
  • Marriage
  • Divorce or legal separation
  • Birth, adoption, or foster care placement
Residency Changes (Only if you had prior qualifying coverage for at least one day in the past 60 days, with some exceptions)
  • Moving to a new service area
  • Moving to the U.S.
  • Moving to/from school, seasonal employment, or a shelter
    (Moving for medical treatment or vacation does not qualify.)
Other Qualifying Events
  • Domestic abuse or spousal abandonment
  • Gaining U.S. legal status
  • American Indian/Alaska Native status
  • Change in financial eligibility
  • Release from incarceration
  • Corrections to name, birthdate, or Social Security number

At Nevada Benefits, we’re proud of the relationships we’ve built since 1994. Our clients count on us for honest guidance, affordable insurance solutions, and friendly, local service.

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