A consumer who terminates QHP coverage outside Open Enrollment will always need to wait for the next Open Enrollment to enroll in a new plan.

A consumer who terminates QHP coverage outside Open Enrollment will always need to wait for the next Open Enrollment to enroll in a new plan.

• A. True
• B. False
• C. Not sure
• D. Only with a waiver

Answer: (B)

Special Enrollment Periods let consumers enroll in or change QHP coverage outside the annual Open Enrollment when certain events occur, such as losing existing health coverage. If a consumer terminates QHP coverage outside Open Enrollment, that counts as loss of coverage and triggers an SEP, so they don’t have to wait for the next Open Enrollment. They can enroll in a new plan within the SEP window, typically within 60 days of losing coverage. If that window is missed, they’d generally need to wait for the next Open Enrollment unless another qualifying life event creates a new SEP.

Special Enrollment Periods let consumers enroll in or change QHP coverage outside the annual Open Enrollment when certain events occur, such as losing existing health coverage. If a consumer terminates QHP coverage outside Open Enrollment, that counts as loss of coverage and triggers an SEP, so they don’t have to wait for the next Open Enrollment. They can enroll in a new plan within the SEP window, typically within 60 days of losing coverage. If that window is missed, they’d generally need to wait for the next Open Enrollment unless another qualifying life event creates a new SEP.