Open Enrollment (November 1 – January 15) is not the only time you can get health insurance. If you experience a qualifying life event, you have a 60-day Special Enrollment Period to enroll in or change your ACA Marketplace plan — at any point during the year. Knowing which events qualify and how to use your SEP window is essential knowledge for anyone between jobs, newly self-employed, or navigating a life transition.
| Event | SEP window | Coverage start |
|---|---|---|
| Lost employer/group health coverage | 60 days from loss | Day of loss or 1st of following month |
| Lost Medicaid or CHIP eligibility | 60 days | Day of loss |
| COBRA coverage ended or became unaffordable | 60 days | 1st of month after enrollment |
| Turned 26 / aged off parent's plan | 60 days | Day coverage ends |
| Got married | 60 days from marriage | 1st of month after enrollment |
| Had or adopted a baby | 60 days from birth/adoption | Date of birth/adoption (retroactive) |
| Got divorced or legally separated | 60 days | 1st of month after enrollment |
| Moved to a new coverage area (new state/county) | 60 days from move | 1st of month after enrollment |
| Gained citizenship or immigration status | 60 days | 1st of month after enrollment |
| Released from incarceration | 60 days | 1st of month after enrollment |
| Employer plan became unaffordable (>9.12% income) | 60 days | 1st of month after enrollment |
| Gained as dependent due to court order | 60 days | 1st of month after order |
| Experienced certain changes in household income | 60 days | 1st of month after enrollment |
| AmeriCorps, Peace Corps, or similar service ended | 60 days | Day service ends |
Healthcare.gov will ask you to select your qualifying event type during enrollment. You'll need to provide documentation within 30 days of enrollment. Acceptable documentation by event type:
Our licensed advisors help you document qualifying events and enroll before your 60-day window closes.
Call (844) 516-1739A Special Enrollment Period (SEP) is a window outside of Open Enrollment when you can sign up for or change an ACA Marketplace plan. SEPs are triggered by qualifying life events such as losing employer coverage, marriage, birth, or moving to a new state. Most SEPs last 60 days from the qualifying event.
Qualifying life events include: losing employer or group coverage, turning 26 and aging off a parent's plan, getting married or divorced, having or adopting a child, moving to a new coverage area, losing Medicaid/CHIP eligibility, gaining citizenship, or being released from incarceration.
You have 60 days from the date of the qualifying event to enroll in an ACA Marketplace plan. After 60 days, you must wait until the next Open Enrollment period (November 1 – January 15) unless you experience another qualifying event.
Becoming self-employed alone is not a qualifying event. However, if you left a job that provided health insurance to become self-employed, the loss of that employer coverage IS a qualifying event — giving you 60 days from your last day of coverage to enroll in an ACA plan.