I am researching several different states and it appears to me that each company is determining what a SEP is and not the actual marketplace.
It appears the marketplace has set a general guidance and again each company is allowed to determine SEP. For example here is BCBSNE application wording.
"Special Enrollment Period Coverage effective dates will be determined by BCBSNE in accordance with state and federal law and will depend on the type of event, the date of request for special enrollment, and the date of plan selection. BCBSNE will determine eligibility for special enrollment. Enrollment is conditioned upon timely payment of premium."
The reason I find this interesting is under SEP they also state
" A Special Enrollment Period of 60 days is available for:
"F. An eligible person whose coverage under a BCBSNE Tempcare Contract is terminated at the end of the full contract term".
Any thoughts?
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Can anyone answer this or reference where in the law or hhs guidance it defines who and what determins what a SEP actually is. All I can find is generalizations. It's never good for a law to have the words like or usually or in most as wording because then excerpting is open to interpolation.
It appears the marketplace has set a general guidance and again each company is allowed to determine SEP. For example here is BCBSNE application wording.
"Special Enrollment Period Coverage effective dates will be determined by BCBSNE in accordance with state and federal law and will depend on the type of event, the date of request for special enrollment, and the date of plan selection. BCBSNE will determine eligibility for special enrollment. Enrollment is conditioned upon timely payment of premium."
The reason I find this interesting is under SEP they also state
" A Special Enrollment Period of 60 days is available for:
"F. An eligible person whose coverage under a BCBSNE Tempcare Contract is terminated at the end of the full contract term".
Any thoughts?
----------
Can anyone answer this or reference where in the law or hhs guidance it defines who and what determins what a SEP actually is. All I can find is generalizations. It's never good for a law to have the words like or usually or in most as wording because then excerpting is open to interpolation.