ALL OTHER STATES: You may qualify for a 60-day Special Enrollment Period (SEP) if you've recently lost (or will soon lose) your employer-based healthcare coverage, or if you've experienced other Qualifying Life Events (QLE) such as getting marrinew yorked/divorced, moving, giving birth/adopting a child, getting out of prison, turning 26 etc. For these SEPs you may have to provide documentation to verify your QLE. Visit HealthCare.Gov or your state's ACA exchange website for details on the process.
This page contains proposed health plan rate information for the District of Columbia’s health insurance marketplace, DC Health Link, for plan year 2021.
The District of Columbia Department of Insurance, Securities and Banking (DISB) received 188 proposed health insurance plan rates for review from Aetna, CareFirst BlueCross BlueShield, Kaiser Permanente and United Healthcare in advance of open enrollment for plan year 2021 on DC Health Link, the District of Columbia’s health insurance marketplace.
The four insurance companies filed proposed rates for individuals, families and small businesses for the 2021 plan year. Overall, 188 plans were filed, compared to 181 last year. The number of small group plans increased from 156 to 163, and the number of individual plans remained at 25.
A few days ago, however, they announced an interesting expansion on the COVID SEP...one specifically intended for employees of small businesses which offer ACA SHOP plans to their employees which these employees haven't enrolled in as of yet:
DC Health Link Expands Opportunities to Get Covered During Public Health Emergency
Monday, April 6, 2020
Responding to COVID-19 pandemic, DC Health Link permits uninsured employees of DC small businesses that offer health insurance through DC Health Link to get covered now
DC Health Link to Offer Even More Opportunities for Residents to Get Covered
DCHBX Executive Board Votes to Allow Pre-Natal Special Enrollment Period and Four Other New Opportunities
Washington, DC – With Open Enrollment recently concluded, District residents and small businesses have new opportunities to sign up for health insurance coverage through DC Health Link. The DC Health Benefit Exchange Authority (DCHBX) Executive Board recently adopted recommendations from its Standing Advisory Board to create four Special Enrollment Periods (SEP) and an extended open enrollment period for DC small businesses.
This is very interesting. ACA Open Enrollment deadline extensions have become kind of a running joke over the years, but for the most part they've been restricted to the December deadlines. the states with deadlines already extending into January have stuck with them for the most part...until this year.
A few days ago, New York State of Health announced that they're extending their final enrollment deadline (for March 1st coverage) by a week, until midnight on Friday, February 7th.
Latino leaders to discuss state of enrollment opportunities at 6th Annual Hispanic Leadership Health Forum; Enrollment and outreach events scheduled throughout DC
Despite national studies showing the Latino community saw the biggest drops in uninsured rates thanks to the Affordable Care Act (ACA), the uninsured rate for Latinos continues to be significantly higher than in other minority communities, according to a United States Census report.
DC Health Link, in partnership with the Mayor’s Office of Latino Affairs (MOLA), the Greater Washington Hispanic Chamber of Commerce and many community-based organizations, will host its annual, action-packed week of intensive enrollment and outreach activities during its Annual Hispanic Enrollment Week of Action. DC Health Link is using this Week of Action to accelerate outreach efforts to promote, educate and motivate Latino enrollment in quality, affordable health insurance. The Hispanic Enrollment Week of Action runs through January 19, 2020.
Healthcare Open Enrollment Going Strong in Washington, DC!
DC Residents Can Sign Up for Quality Affordable Coverage Through Jan 31, 2020
WASHINGTON, DC – District of Columbia residents still have more than six (6) weeks to sign up for quality, affordable health insurance through DC Health Link, the District’s state-based health insurance exchange established under the Affordable Care Act. While the final deadline has passed for individuals across the country to sign up for health insurance through the federal marketplace (HealthCare.gov), DC Health Link’s Open Enrollment for individuals and families continues on until January 31, 2020.
Mayor Bowser Encourages DC Residents to Get Covered During 2020 Open Enrollment Period
Wednesday, November 13, 2019
Residents Must Enroll at DCHealthLink.com by December 15 for Coverage to Start January 1
(Washington, DC) – Mayor Muriel Bowser is encouraging DC residents to sign-up for high-quality, affordable health insurance at DCHealthLink.com, the District’s online state-based health insurance marketplace established under the Affordable Care Act. Open enrollment for District residents runs through January 31, 2020. For coverage to be effective January 1, 2020, residents must enroll by December 15.
“If you are a District resident in need of health insurance, there is no better time to find an affordable, high-quality plan,” said Mayor Bowser. “We are proud that the District has been able to build on the Affordable Care Act and ensure every family has access to health insurance and the peace of mind that coverage provides.”
*(Yes, I know, the District of Columbia isn't actually a state, and Vermont's mandate is...well, read on...)
As the 2020 Open Enrollment Period rapidly approaches (it starts November 1st nationwide...except for California, where open enrollment is starting on October 15th), it's time to start getting the word out about some important things to keep in mind this fall.
One of the most critical things to remember for residents of California, the District of Columbia, Massachusetts, New Jersey, Rhode Island and Vermont is that each of these states* has reinstated an individual healthcare coverage mandate law/ordinance to replace the federal ACA mandate penalty which was zeroed out by Congressional Republicans back in December 2017. This means that if you live one one of them, unless you receive an affordability, hardship or other type of acceptable exemption, you'll be charged a financial penalty when you file your state/district taxes for 2020 in spring 2021 if you don't have qualifying healthcare coverage.
Overall individual rates increased an average of 9.0 percent and small group rates increased an average of 10.5 percent. In the individual market, CareFirst proposed an average increase of 7.7 percent for HMO plans, and 15.6 percent for PPO plans. Kaiser proposed an average increase of 5.0 percent. For small group plans, CareFirst filed average rate increases of 13.5 percent for HMO plans and 18.5 percent for the PPO plans. Kaiser small group rates proposed an average increase of 3.0 percent. Aetna filed for an average increase of 16.1 percent for HMO plans and 5.0 percent for PPO plans. Finally, United proposed an average increase of 13.0 percent and 7.4 percent for its two HMOs and 11.2 percent for its PPO plans.