Renew, Change, Update, or Cancel Your Marketplace Plan

Important Notice:

• Eligibility Check: You may qualify for health coverage now through a Special Enrollment Period triggered by a life event or based on your income.
• Medicaid/CHIP Options: You might also be eligible for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP).
• Verify Your Eligibility: Check now to see if you qualify.

Renew or Modify Your Plan During Open Enrollment

As a valued Marketplace participant, you have the opportunity to renew, change, or update your health coverage during the Open Enrollment period (November 1 - January 15). Outside of this window, modifications to your plan are possible only if you qualify for a Special Enrollment Period.

Action Steps During Open Enrollment:

1. Update Your Information: Ensure your expected income and household details for the upcoming year are accurate. This is crucial to securing the correct amount of savings on your health plan.
2. Evaluate Plan Options: Carefully compare available plans. You may choose to renew your current plan (if it remains available) or select a new plan that better aligns with your evolving needs.

Critical Deadlines:

• By December 15: Complete your updates and enroll in a plan to ensure your coverage, along with the appropriate savings, starts on January 1. Failing to act by this date could result in automatic re-enrollment, but it's essential to update your details to guarantee accurate savings.
• By January 15: The Open Enrollment period concludes. To secure coverage starting February 1, you must enroll in a plan by this date.

Annual Coverage Notifications

By November 1, you should receive two important letters: one from your current insurance provider and another from the Marketplace. These communications will detail:

• The availability of your current plan for the upcoming year
• The plan you will be automatically enrolled in, should you not take action by December 15
• Any changes to your coverage and cost savings
• Any additional documentation required by the Marketplace to verify your application

If you do not receive these letters, we advise contacting your insurance provider or the Marketplace Call Center promptly.

Plan Comparison

It is prudent to compare your current plan with the plan you’re pre-selected for and other available options. Each year, plan offerings and pricing can change, and your circumstances may have shifted as well. There may be new plans that provide better coverage or more suitable features, especially if you’ve experienced changes in income or household composition.

Update or Modify Plans Outside of Open Enrollment

If you qualify for a Special Enrollment Period, you may update or change your plan outside the standard Open Enrollment period. Ensure your application reflects any life event changes, such as income or household modifications, to maintain the correct level of savings.

Canceling Your Marketplace Plan

You have the option to cancel your Marketplace plan at any time, whether due to acquiring alternative health coverage or for other reasons.

Cancellation Options:

• Cancel for All Covered Individuals: Terminate coverage for all members listed on your application. Coverage termination can be immediate or set for a future date to coincide with the start of new coverage.
• Cancel for Selected Individuals: Terminate coverage for specific individuals on your application. Generally, coverage for these individuals will end immediately.

Key Considerations: If you choose to cancel your Marketplace plan and do not have other health coverage in place, you may need to wait until the next Open Enrollment period to re-enroll, unless you qualify for a Special Enrollment Period. Maintaining health coverage is critical to ensuring access to essential care and protecting against unforeseen medical expenses. We strongly recommend that you evaluate the benefits of having continuous health coverage.

Ensure Continuous Coverage with Automatic Re-enrollment

During Open Enrollment, if you are currently covered under a Marketplace plan, we will automatically re-enroll you for the upcoming year to ensure you maintain continuous coverage.

Key Actions to Take:

• Update by December 15: To guarantee that you receive the appropriate savings and have a plan that aligns with your needs, please update your application and make any necessary adjustments by December 15. This will ensure that your coverage begins on January 1 without interruption.

• Review Your Enrollment Notification: You will receive a letter detailing whether you have been automatically re-enrolled in your current plan or a different plan. If you prefer an alternative plan, you must select and enroll in it by December 15.

• Opportunity to Change Plans: If you are automatically re-enrolled and wish to explore other options, you have until January 15 to make changes, as Open Enrollment concludes on that date.

Action Steps:

1. Log In to Your Marketplace Account:
   • Update your application with the latest income and household information for the upcoming year.
   • Compare the plan you have been matched with against other available plans.
   • Select the plan that best meets your requirements and complete your enrollment process. You may choose to remain with the automatically assigned plan or select a different one.

Important Note: After Open Enrollment ends, you may only enroll in or change plans if you qualify for a Special Enrollment Period.

Important Information: Open Enrollment Letters

If you currently have a Marketplace plan, expect to receive two important re-enrollment letters by November 1: one from the Marketplace and one from your insurance provider.

Marketplace Letter:

• Coverage Details: Review information about your coverage and costs for the upcoming year.
• Application Updates: Instructions for updating your application to ensure you receive the correct savings.
• Premium Tax Credit: Actions required to secure your premium tax credit, including potential document submissions such as tax or income information.
• Plan Selection: Compare available plans to find one that best suits your needs and enroll accordingly.

Insurance Company Letter:

• Plan Availability: Confirm whether your current plan will be available for the new year.
• Alternate Plans: Information on similar or alternative plans if your current plan is not available.
• Plan Changes: Details of any modifications to your plan for the new year.
• Premium Information: Updated premium amounts after applying any tax credits, based on existing Marketplace or other information.

Important Note:

Please keep both letters for your records and use them to guide your enrollment decisions. These documents are essential for ensuring your continued coverage and for making any necessary updates to your plan.