Policy & RegulationSample

The December 15 deadline still decides whether coverage starts in January

Written by Insure With Mercy Team|Reviewed by Mercy Makarevich

Updated on 4 min read

A month grid on a wall calendar

Open Enrollment runs 1 November to 15 January, but the date inside that window matters more than the closing date: enrol by 15 December for a 1 January start, or wait until 1 February.

Key takeaways

  • Open Enrollment runs 1 November to 15 January on the federal Marketplace.
  • Enrol by 15 December and coverage starts 1 January; enrol 16 December to 15 January and it starts 1 February.
  • Outside the window you need a Special Enrollment Period, which usually runs 60 days around a qualifying event.
  • Medicaid and CHIP accept applications all year, so they have no enrolment window at all.

Open Enrollment on the federal Marketplace runs from 1 November to 15 January. The closing date gets the attention, but the date that changes what a household actually gets is 15 December.

Open Enrollment

The deadline inside Open Enrollment that changes your start date

Enrolling by 15 December starts coverage on 1 January. Enrolling in the weeks after that pushes the start to 1 February.

Days in the window

View the data as a table
The deadline inside Open Enrollment that changes your start date
CategoryDays
Nov 1 – Dec 1545
Dec 16 – Jan 1531
Dates are the federal Marketplace schedule. Confirm the current year's deadlines before relying on them.Source: HealthCare.gov, dates and deadlines

Two windows, two start dates

Federal Marketplace Open Enrollment
Enrol betweenDaysCoverage starts
1 November – 15 December451 January
16 December – 15 January311 February

Outside the window

After 15 January you can enrol or change plans only with a Special Enrollment Period. Depending on the type, you usually have 60 days before or 60 days after the qualifying event. A birth, an adoption or a foster placement can start coverage on the day of the event even if you enrol up to 60 days later.

  • Losing other coverage, including job-based coverage
  • A move that meets the Marketplace rules
  • Marriage, a birth, an adoption or a foster placement
  • Certain changes in income or household that affect eligibility

Medicaid and CHIP work differently again: they take applications all year, and Florida decides that eligibility separately. If you are unsure which window applies, the enrolment window checker walks through it.

#Open Enrollment#Deadlines#Marketplace#ACA

Sources

Checked . Figures are published by the organisations below; confirm the current year before relying on any of them.

  1. 1When can you get health insurance? Dates and deadlinesHealthCare.gov
  2. 2Getting health coverage outside Open EnrollmentHealthCare.gov

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