It’s easy. Your client can apply either online or by mail.
Your clients can apply using your own personal enrollment link. Applying online allows you to track your clients current status of their application.
If you do not have a personal enrollment link please call Producer Support at 877-205-9725, Option 1.
Starting January 1, 2014, applicants will only need to complete the application to apply for coverage as required by the Affordable Care Act (ACA)
If your clients qualify for premium credit assistance, cost share reduction plans or American Indian/Alaska Native plans, they will want to enroll in a plan through Washington Healthplanfinder.
Individuals eligible to apply for a Premera plan must be:
Eligible dependents that can enroll on a plan include:
The open enrollment period this year is October 1, 2013 – March 31, 2014. Your client can select a new plan during this period. If they do not enroll during this period, they’ll have to wait until November 15, 2014, to change their plan or purchase coverage for January 1, 2015.
Your Sales Executive and Producer Support are available to help answer any questions you might have about these plans.
Your clients can retain their grandfathered plans (established prior to March 23, 2010) or select a new plan. If a grandfathered client wants to select a new plan, they'll have until March 31, 2014. After that, they will need to wait until November 15, 2014, to change plans for a January 1, 2015, effective date.
Individuals are eligible to apply for coverage outside of the annual open enrollment period only when they have a qualifying event.
Individuals will report qualifying events through the enrollment application if purchasing through Premera or through the Exchange web portal if purchasing through the Exchange.
A qualified individual has 31 days to report the event, and may then be determined eligible for a 60-day Special Enrollment period from the date of the qualifying event to select a Health Plan. In the case of reporting a birth or adoption, or placement for adoption, the household has 60 days to report the event. Premera and the Exchange will allow qualified individuals and enrollees to enroll in or change from one Qualified Health Plans to another as a result of the following events: