Special Enrollment Period for Federally Facilitated Marketplace Coverage
February 23, 2015
On February 20, 2015, the Centers for Medicare & Medicaid Services (CMS) announced a special enrollment period for individuals and families who did not have health coverage in 2014 and are now subject to the “shared responsibility payment” (a.k.a. individual mandate penalty) when they file their 2014 tax returns. This special enrollment period applies specifically to individuals who live in states which use the Federally Facilitated Marketplaces (FFM).
This special enrollment period provides individuals who were not aware of their responsibility to have minimum essential coverage (MEC) the opportunity to enroll in coverage for themselves and their families through a FFM from March 15 – April 30, 2015. While it doesn’t impact state-based Marketplaces, states may choose to offer the special enrollment period as well.
Who is eligible?
- Individuals who live in states with a FFM and are not currently enrolled in 2015 coverage,
- Individuals who confirm that when they filed their 2014 tax returns they paid the fee for not having MEC in 2014, and
- Individuals who attest they first became aware of the individual mandate requirements after the 2015 open enrollment period (i.e., after February 15, 2015).
Tax season insights
Because this is the first tax season when consumers must declare having MEC, CMS recognizes that tax payers are either first becoming aware of their responsibility or confused by whether or not they qualify for exemption. CMS has launched a tool to help consumers determine if they qualify for an exemption, which is posted on Healthcare.gov: health coverage tax exemption tool.
We encourage you to bookmark Cigna's health care reform website, InformedOnReform.com, where we post the most recent guidance and regulatory information on the employer and individual mandates.
SEE ALL NEWS ALERTS
Stay up-to-date with health care reform announcements and breaking news. Read our news articles and discover how rules may affect you or your business.
Read answers to frequently asked questions about health care reform.