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Posted

Employee's COBRA coverage was terminated on April 1 retroactively to February 1 due to nonpayment of premiums.  Is the employee precluded from obtaining Marketplace coverage now because his coverage was terminated outside the 60-day window Special Enrollment Period?  

I believe this is the case but am wondering if anyone has run across this situation.

Posted

Healthcare.gov has a step by step process for Special Enrollment periods outside of Open Enrollment.  Regarding the specific circumstance the wording on the site is:

You DON’T qualify for a Special Enrollment Period if:

  • You decide to end COBRA early (and are paying the full cost yourself).
  • You lose your COBRA coverage because you didn’t pay your premiums.

 

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