Changes that qualify for a Special Enrollment Period

Complicated Cases

You faced a serious medical condition or natural disaster that kept you from enrolling. For example:

  • An unexpected hospitalization or temporary cognitive disability, or were otherwise incapacitated
  • A natural disaster, such as an earthquake, massive flooding, or hurricane
  • A technical error occurred when you applied on
  • The wrong plan data was displayed on at the time that you selected your health plan
  • Lived in a state that hasn’t expanded Medicaid and you become newly eligible for help paying for a Marketplace insurance plan because of an increase in household income or move
  • in the last 60 days, you had an increase in household income or moved, making you newly eligible for premium tax credits.

Your state Medicaid or CHIP agency determined that you weren’t eligible for Medicaid or CHIP after Open Enrollment ended

You gained a new dependent or became a dependent of someone else due to a court order

You're a survivor of domestic abuse/violence or spousal abandonment and want to enroll in your own health plan separate from your abuser or abandoner. Your dependents may be eligible too.

You believe you received an incorrect eligibility determination or an incorrect coverage effective date and file an appeal with the Marketplace. If the ruling goes in your favor, you’ll be given the option to enroll in or change plans either retroactively or prospectively.