Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Eligibility and Special Enrollment Period (SEP)
Program Area: Enrollment and Eligibility (ENR)
Question: Why can't the Marketplace assign a January 1, 2014 effective date and transmit the 834 over with the correct effective date?
Answer: The Federally-facilitated Marketplace (FFM) system automatically assigns the coverage effective date based on regulatory rules. Plan sections made on or before the 15th of the month will be assigned a coverage effective date of the first of the next month. The FFM was able to alter this automatic assignment to accommodate the extra time granted for the month of December 2013. The system automatically assigns a coverage effective date of January 1, 2014 for plan selections made on or before December 24, 2013. Due to the rapid pace of implementing the marketplace error special enrollment period (SEP), the FFM does not have the capability to program the system to auto-assign a January 1, 2014 coverage effective date for only those enrollees granted the SEP.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 01, 2014
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.