ACA Special Enrollment Period Announced by CMS

Author: Chris Hagerstrom

CMS Announced Special Enrollment Period for Tax Season
Eligible consumers have from March 15 through April 30 to enroll in coverage

The Centers for Medicare and Medicaid Services (CMS) announced a special enrollment period (SEP) for individuals and families who did not have health coverage in 2014 and are subject to the fee or “Shared Responsibility Payment” when they file their 2014 taxes in states which use the Federally-Facilitated Marketplace (FFM).  This special enrollment period will allow those individuals and families who were unaware or didn’t understand the implications of this new requirement to enroll in 2015 health insurance coverage through the FFM.  CMS Press Release

Those eligible for this special enrollment period:

  • Live in a Federally Facilitated Marketplace state (not State-based)
  • Currently are not enrolled in coverage through the FFM for 2015
  • Attest that when they filed their 2014 tax return they paid the fee for not having health coverage in 2014, and
  • Attest that they first became aware of, or understood the implications of, the Shared Responsibility Payment after the end of open enrollment (February 15, 2015) in connection with preparing their 2014 taxes.

Clients that enroll on March 15th and maintain their coverage through December 31st will be able to avoid the Shared Responsibility Payment for 2015’s tax return.  Currently, any individual that enrolls after March 15th will have to pay their portion of the Share Responsiblity Payment for their 2015 taxes.

Have questions?  Call JSA’s Major Medical Team today at 1-800-203-0433 or ask your question below.  We look forward to helping you!

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Chris Hagerstrom is the Marketing Vice President at Jack Schroeder and Associates, LLC. Through years of experience he has become an expert with Medicare, Life Insurance, Annuities and Supplemental Health and how to successfully navigate the senior market.

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