What are Qualifying Events (also known as Special Enrollment Periods)?
You can typically only enroll in Covered California during a set time called “open enrollment.” A special enrollment allows you to enroll in or make changes to your health insurance plan outside this open enrollment period. To qualify for special enrollment, you must have a qualifying life event and enroll within 60 days from the date of that event. If you are eligible for a qualifying event you may now enroll in Covered California with guarantee issue.
How do you qualify for special enrollment?
You get married or enter into a domestic partnership
You have or adopt a child, or place a child in adoption or in a foster home
You lose your health coverage, including no longer being eligible for Medi-Cal or losing your coverage through your job
You change where you permanently live or move to another region of the state where plan options are different
You are released from jail or prison
You have exhausted your COBRA coverage
You are already enrolled in a Covered California plan and you become newly eligible or ineligible for tax credits based on your income
You turn 26 and can no longer be covered by your parents’ plan
You’re no longer covered by a college health plan
You return from active-duty military service
You are a victim of domestic abuse or spousal abandonment.
You become a citizen, national or lawfully present individual
If you are a member of a federally recognized American Indian or Alaska Native tribe, you can enroll anytime and change plans no more than once per month
If you applied for health coverage through Covered California before March 31st or Medi-Cal after March 31st and feel you were incorrectly denied
If your enrollment was wrong due to an error, misrepresentation or misconduct of your health insurance company, Covered California or a non-Covered California entity
Covered California determines you experienced an exceptional circumstance