Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Enrollment and Initial
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 09, 2017
Program Area: Enrollment and Eligibility (ENR)
Question: When a consumer impacted by a hurricane enrolls after December 12, 2017, when will that consumer's coverage be effective?
Answer: Issuers may consider setting more generous deadlines for payments to effectuate prospective coverage, such as allowing affected enrollees to make a binder payment (1) more than 30 days after the coverage effective date for coverage effectuated under regular coverage effective date rules pursuant to 45 CFR 155.400(e)(1)(i) or, (2) for prospective coverage to be effectuated under special effective date rules pursuant to 45 CFR 3 155.400(e)(1)(ii), on a date occurring after the later of the date the issuer receives the enrollment transaction or the effective date for such coverage. Additional information can be found at: https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/2017-Hurricane-Disasters-Guidance.pdf.
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