{"id":4858,"date":"2023-07-31T19:17:09","date_gmt":"2023-07-31T19:17:09","guid":{"rendered":"https:\/\/affiliatedworkersassociation.org\/?p=4858"},"modified":"2025-08-14T17:55:04","modified_gmt":"2025-08-14T17:55:04","slug":"your-open-enrollment-questions-answered","status":"publish","type":"post","link":"https:\/\/affiliatedworkersassociation.org\/resources\/your-open-enrollment-questions-answered\/","title":{"rendered":"Your Open Enrollment Questions Answered"},"content":{"rendered":"\n<p>Recent changes to open enrollment dates have extended the amount of time individuals have to sign up for health insurance. When signing up for health insurance, those using the marketplace will have a full 75 days to choose a plan and complete the signup process.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color\">What is Open Enrollment?<\/h2>\n\n\n\n<p>The short and simple answer is that open enrollment is the period of time each year when individuals can sign up for health insurance or change their plans. While certain qualifying events can make a person eligible to sign up outside of open enrollment, for the most part, applications and changes to coverage must be completed during this time.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color wp-elements-818d55004d6030f89d0ea6f82339e51e\">What does Open Enrollment Mean?<\/h2>\n\n\n\n<p>When thinking of health insurance, Open Enrollment is the annual opportunity for individuals to find or change their health coverage. Insurers limit enrollment to a defined period in year to help prevent people from signing up for insurance only when they are sick.<\/p>\n\n\n\n<div class=\"wp-block-group has-primary-light-background-color has-background is-layout-constrained wp-container-core-group-is-layout-a666d811 wp-block-group-is-layout-constrained\" style=\"padding-top:var(--wp--preset--spacing--40);padding-right:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--40);padding-left:var(--wp--preset--spacing--40)\">\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Why is there an Open Enrollment Period?<\/h2>\n<\/div>\n\n\n\n<p>You can enroll in most other types of insurance whenever you need them, so why is health insurance any different?<\/p>\n\n\n\n<p>The purpose of the open enrollment period is to discourage what is known as adverse selection. This refers to a situation in which a person does not have health insurance, becomes sick, signs up for health insurance, and then cancels their plan once they are well.<\/p>\n\n\n\n<p>When adverse selection becomes significant within a health insurance marketplace, it can skew the cost to insurance providers because healthy people are less likely to sign up. An open enrollment period encourages everyone to sign up and be covered in case the worst happens.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color\">Do all types of health insurance use open enrollment periods?<\/h2>\n\n\n\n<p>Not all types of health insurance use open enrollment periods, but many do. Some of the most common that do follow these periods are:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Medicare<\/li>\n\n\n\n<li>Job-based health coverage<\/li>\n\n\n\n<li>Individual market health coverage<\/li>\n<\/ul>\n\n\n\n<p>If you plan to apply for one of these types of coverage or have one of these types of coverage and want to make changes to your plan, you will most likely need to do so during open enrollment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color\">When is the Open Enrollment Period for 2025<\/h2>\n\n\n\n<p>The dates for <a href=\"https:\/\/www.healthcare.gov\/quick-guide\/dates-and-deadlines\/\">2025 open enrollment<\/a> include a larger window of dates than in previous years:<\/p>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-container-core-group-is-layout-fa4ca5e9 wp-block-group-is-layout-constrained\" style=\"border-style:none;border-width:0px;padding-top:var(--wp--preset--spacing--50);padding-right:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50);padding-left:var(--wp--preset--spacing--50)\">\n<h3 class=\"wp-block-heading\"><strong>November 1, 2025 &#8211; The Beginning of Open Enrollment<\/strong>:<\/h3>\n\n\n\n<p>This is the first day an individual can enroll, re-enroll, or change their insurance plan via the Health Insurance Marketplace.<\/p>\n\n\n\n<p><strong>December 15th &#8211; The Last Day for Enrollment<\/strong><\/p>\n\n\n\n<p>For coverage that will begin January 1st, 2026, the last day to enroll is December 15th, 2025.<\/p>\n\n\n\n<p><strong>January 1st &#8211; The First Day of Coverage<\/strong><\/p>\n\n\n\n<p>For individuals who have enrolled by December 15th and paid their first premium, coverage begins on January 1<sup>st<\/sup>.<\/p>\n\n\n\n<p><strong>January 15th &#8211; Final Day to Enroll or Amend Plans for 2026<\/strong><\/p>\n\n\n\n<p>If you do not make changes to your plan or sign up for a new plan by December 15<sup>th<\/sup>, you are not out of luck. You can still sign up until January 15th, 2026, but your starting date will not be the 1<sup>st<\/sup> of the year. If you do not sign up or make changes by January 15th, 2026, you will need to have a qualifying event or wait until the open enrollment for 2027 coverage.<\/p>\n\n\n\n<p><strong>February 1st &#8211; The First Day of Coverage for Late Enrollment<\/strong><\/p>\n\n\n\n<p>For those who signed up and paid their first premium after December 15<sup>th<\/sup> but before January 15<sup>th<\/sup>, coverage will begin on February 1st, 2026.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color wp-elements-6099e5cb6374a8b77978f12adeb7a636\">When is Open Enrollment for Medicare?<\/h2>\n\n\n\n<p>One important thing to note about the dates above is that they do not apply to Medicare Open Enrollment. The dates to sign up for Medicare Advantage and Part D plans are October 15<sup>th<\/sup> to December 7<sup>th<\/sup> each year.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color wp-elements-aff62bd3e243865e10560114f50b6fa7\">When is Open Enrollment for job-based health insurance?<\/h2>\n\n\n\n<p>If you&nbsp;are covered by your employer\u2019s group health insurance plan, they can set the Open Enrollment dates at any time they would like. That said, it is most common for them to have Open Enrollment in the fall to ensure coverage begins on the first of the year.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color wp-elements-766e8f0ba96ef387212712803632d2fe\">Can you get health insurance or change your coverage outside of Open Enrollment?<\/h2>\n\n\n\n<p>Yes, you can qualify for a <strong>Special Enrollment Period<\/strong> if you experience a qualifying event.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color wp-elements-34543dd22b00c7fa7e49f2e8582e8373\">What are qualifying events for a Special Enrollment Period?<\/h2>\n\n\n\n<p>Qualifying events for a Special Enrollment Period include:<\/p>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-container-core-group-is-layout-301020a0 wp-block-group-is-layout-constrained\" style=\"padding-top:var(--wp--preset--spacing--50);padding-right:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50);padding-left:var(--wp--preset--spacing--50)\">\n<ul class=\"wp-block-list has-foreground-color has-text-color\">\n<li>Involuntarily losing health coverage: This includes ending your employment (whether voluntarily or not), aging off of a parent&#8217;s health plan, the expiration of COBRA, and divorce, amongst others.<\/li>\n\n\n\n<li>Moving: If you move out of your plan&#8217;s service area or move somewhere that has different plans available, you can qualify for a Special Enrollment Period.<\/li>\n\n\n\n<li>Marriage<\/li>\n\n\n\n<li>Having a baby or adopting a child<\/li>\n\n\n\n<li>No longer being eligible for Medicaid or CHIP<\/li>\n\n\n\n<li>Becoming a member of a federally recognized tribe<\/li>\n\n\n\n<li>Status as an Alaska Native Claims Settlement Act Corporation shareholder<\/li>\n\n\n\n<li>Becoming a citizen of the United States<\/li>\n\n\n\n<li>Leaving incarceration<\/li>\n\n\n\n<li>Beginning or leaving service as an AmeriCorps State and National, NCCC, or VISTA member<\/li>\n<\/ul>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color wp-elements-8af79e6974cf7f2b74dd55edf65971d9\">What events will NOT qualify you for a Special Enrollment Period?<\/h2>\n\n\n\n<p>Examples of events that will not qualify include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cancelation of previous coverage due to nonpayment of premiums<\/li>\n\n\n\n<li style=\"margin-top:0;margin-bottom:0;padding-top:0;padding-bottom:0\">Voluntarily canceling your coverage<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color wp-elements-681a5477411d3208269be7c62d8e953e\">What is Supplemental Insurance, and how does it work during the Open Enrollment Period?<\/h2>\n\n\n\n<p>Some people choose to add additional insurance known as supplemental insurance. There are many types of this coverage, but they all have the same goal: helping the policyholder pay for medical services and out-of-pocket expenses that are not covered by their main insurance policy.<\/p>\n\n\n\n<p>In some cases, supplemental insurance pays for deductibles, co-pays, and co-insurance, while other policies pay for services that are not covered by your plan. Still others give you cash benefits paid over time or in a single lump sum.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color wp-elements-8530eabc8a8842c42d11b99b55ec7778\">What are the most common types of Supplemental Insurance added during Open Enrollment?<\/h2>\n\n\n\n<p>The most common types of supplemental insurance added during Open Enrollment include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dental insurance<\/strong>: Dental care is often not included in primary health plans, and routine cleanings, exams, and procedures can add up quickly. Adding dental insurance helps cover these costs and prevent larger expenses down the road.<\/li>\n\n\n\n<li><strong>Vision insurance: <\/strong>Vision care, like eye exams, glasses, and contact lenses, is typically excluded from standard health plans. Many people find it cost-effective to add vision coverage during Open Enrollment to maintain their eye health and manage expenses.<\/li>\n\n\n\n<li><strong>Accident insurance:<\/strong> Accidents are unpredictable and can result in significant medical bills. Accident insurance provides financial protection for out-of-pocket costs, such as emergency room visits or treatment following an injury.<\/li>\n\n\n\n<li><strong>Critical illness insurance<\/strong><em>: <\/em>Serious illnesses like cancer, heart attack, or stroke can lead to overwhelming medical expenses. Critical illness insurance provides cash benefits to help pay for treatments, household bills, or other unexpected costs.<\/li>\n\n\n\n<li><strong>Hospital indemnity insurance: <\/strong>Hospital stays often come with high out-of-pocket costs, even with primary insurance. Hospital indemnity insurance offers cash payments for hospital stays, easing the financial burden of deductibles, co-pays, and other expenses.<\/li>\n\n\n\n<li><strong>Disability Insurance: <\/strong>If illness or injury prevents someone from working, disability insurance provides income replacement. It\u2019s a popular choice during Open Enrollment because it offers peace of mind by protecting against a loss of earnings.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color\">Questions about Open Enrollment?<\/h2>\n\n\n\n<p>Do you have further questions about open enrollment or how AWA can help you? <a href=\"https:\/\/affiliatedworkersassociation.org\/contact\/\" target=\"_blank\" rel=\"noreferrer noopener\">Contact us<\/a> today! Our dedicated team members are standing by to answer your questions.<\/p>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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