New ACA Final Rules from CMS

Sept. 28, 2021

What’s new: On Sept. 17, CMS announced new final rules that affect the individual ACA market. The two most notable changes include an extended open enrollment (OE) season and a new special enrollment period (SEP).

Longer OE period: ACA open enrollment will extend through Jan. 15, 2022. Consumers who enroll in a qualified health plan on or before Dec. 15 will have a Jan. 1 effective date. Those who enroll between Dec. 16 and Jan. 15 will have a Feb. 1 effective date. The beginning of OE remains Nov. 1.

New SEP: A new monthly SEP will allow consumers with a projected annual household income no greater than 150% of the federal poverty level to enroll in Marketplace coverage with low or no premiums after tax credits are applied.

Get the details: Read CMS' press release Leaving site icon and detailed fact sheet Leaving site icon for more information.

Last Updated: Dec. 06, 2023