Open Enrollment for 2014 Marketplace coverage is over. Outside the Open Enrollment period, you can enroll in a private health plan through the Marketplace only if you qualify for a special enrollment period.You can qualify for a special enrollment period if either of the following applies to you:
- You have a qualifying life event like having a baby, getting married, or losing other coverage. Learn more about special enrollment periods and other coverage options outside Open Enrollment.
- You have other complicated situations, as described on this page.
Other complicated cases that may qualify for a special enrollment period
Below are cases and examples that may also qualify you for a special enrollment period.
Exceptional circumstance
You faced a serious medical condition or natural disaster that kept you from enrolling. For example:
You faced a serious medical condition or natural disaster that kept you from enrolling. For example:
- An unexpected hospitalization or temporary cognitive disability
- A natural disaster, such as an earthq
- ake, massive flooding, or hurricane
- A planned Marketplace system outage, such as Social Security Administration system outage
Misinformation or misrepresentation
Misconduct by a non-Marketplace enrollment assister (like an insurance company, navigator, certified application counselor, or agent or broker) resulted in you:
Misconduct by a non-Marketplace enrollment assister (like an insurance company, navigator, certified application counselor, or agent or broker) resulted in you:
- Not getting enrolled in a plan
- Being enrolled in the wrong plan
- Not getting the premium tax credit or cost-sharing reduction you were eligible for
Enrollment error
Your application may have been rejected by the insurance company’s system because of errors in reading the data, or some of the data was missing or inaccurate.
Your application may have been rejected by the insurance company’s system because of errors in reading the data, or some of the data was missing or inaccurate.
System errors related to immigration status
An error in the processing of applications or system caused you to get an incorrect immigration eligibility result when you tried to apply for coverage.
An error in the processing of applications or system caused you to get an incorrect immigration eligibility result when you tried to apply for coverage.
Display errors on HealthCare.gov
Incorrect plan data was displayed at the time that you selected your health plan, such as benefit or cost-sharing information. This includes issues where some consumers were allowed to enroll in plans offered in a different area, or enroll in plans that don’t allow certain categories of family relationships to enroll together.
Incorrect plan data was displayed at the time that you selected your health plan, such as benefit or cost-sharing information. This includes issues where some consumers were allowed to enroll in plans offered in a different area, or enroll in plans that don’t allow certain categories of family relationships to enroll together.
Medicaid/Marketplace transfers
If you applied for Medicaid through your state, or were sent to Medicaid from the Marketplace, but you weren’t eligible for Medicaid.- Your state transferred your information to the Marketplace but you didn’t get an answer about your eligibility and/or didn’t get enrolled before March 31.
Error messages
Your application was stopped due to specific error messages. For example, you received a "data sources down" error message or another error message that didn’t allow you to enroll.
Unresolved casework
You’re working with a caseworker on an enrollment issue that didn’t get resolved before March 31.
You’re working with a caseworker on an enrollment issue that didn’t get resolved before March 31.
Victims of domestic abuse
You’re a victim of domestic abuse and weren’t previously allowed to enroll and receive advance payments of the premium tax credit separately from your spouse. You’ll be able to do so now.
You’re a victim of domestic abuse and weren’t previously allowed to enroll and receive advance payments of the premium tax credit separately from your spouse. You’ll be able to do so now.
Other system errors
Other system errors that kept you from enrolling, as determined by the Centers for Medicare & Medicaid Services
Other system errors that kept you from enrolling, as determined by the Centers for Medicare & Medicaid Services
If you qualify for a special enrollment period
If you think you qualify for a special enrollment period, contact the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325)
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