Which special enrollment period (SEP) is caused by loss of Medicaid or CHIP eligibility?

Prepare for the PY 2025 Pennie Individual Marketplace Training with engaging multiple choice questions and detailed explanations. Equip yourself with the knowledge needed to excel on your first attempt!

The correct answer identifies a special enrollment period (SEP) that gives individuals the opportunity to enroll in health coverage after experiencing a significant life event, which in this case is the loss of Medicaid or Children's Health Insurance Program (CHIP) eligibility. This loss is considered a qualifying event under the regulations governing health insurance enrollment, as it impacts a person's access to healthcare and financial resources.

When someone loses their Medicaid or CHIP eligibility, it often means they will need to seek other coverage options, and the qualifying life event SEP allows them to do just that. This period typically lasts for 60 days following the loss of coverage, enabling individuals to apply for marketplace plans or potentially other types of health insurance.

The other options, while relevant to enrollment periods, do not directly apply to the specific scenario of losing Medicaid or CHIP eligibility. The general enrollment period is not tied to specific life events and happens at a specified time each year. The low-income SEP is related but focuses on different income thresholds rather than directly on the loss of Medicaid or CHIP. The Medicaid expansion SEP pertains to broader eligibility expansions under state law, not specifically to the loss of existing coverage.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy