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ACA Individual Market Update

 

 

 

Special Enrollment Period for Covid-19

 

Yesterday President Biden issued an Executive Order announcing a Special Enrollment Period (SEP) for individuals and families for Marketplace coverage in response to the COVID-19 Public Health Emergency. Beginning February 15, 2021 and through May 15, 2021, these Marketplaces will operationalize functionality to make this SEP available to Market-place eligible consumers.

State-based Marketplaces, like Pennie, will have the opportunity to take similar action. We are waiting to see how this information impacts Pennsylvania and off-exchange enrollment in general. Additional detail will be provided as soon as it becomes available.  

For more information, visit the websites below: 

To read the executive order, visit: https://www.whitehouse.gov/briefing-room/presidential-actions/2021/01/28/executive-order-on-strengthening-medicaid-and-the-affordable-care-act/

To read the press release, visit: https://www.hhs.gov/about/news/2021/01/28/hhs-announces-marketplace-special-enrollment-period-for-covid-19-public-health-emergency.html

To read the fact sheet, visit: https://www.cms.gov/newsroom/fact-sheets/2021-special-enrollment-period-response-covid-19-emergency

To see the White House fact sheet, visit:  https://www.whitehouse.gov/briefing-room/statements-releases/2021/01/28/fact-sheet-president-biden-to-sign-executive-orders-strengthening-americans-access-to-quality-affordable-health-care/

 

 

SEP Reminders

 

  • SEP enrollments are commissionable. Contact the agency you write Individual business through to verify commission amounts.
  • Off-exchange enrollment applications and SEP forms are available on the Producer Portal, producer.highmark.com, under "Resources." Completed applications and forms can be e-mailed to DP_applications@highmark.com or faxed to 866-224-5403.
  • On-exchange enrollment should be submitted through Pennie for Pennsylvania, and through HealthSherpa or Healthcare.gov for Delaware and West Virginia. 

 

Congratulations to our Amazon Gift Card Winners!

 

 

 

Thank you to everyone who completed our OEP survey!
We would like to congratulate our winners: 

Jason Aston
Dale E. Beagle
Dawn Griffith
Roger D. Knight
Deana Lemmon
Marilyn Mannarino
Nicholas Novelli
Maria Toner
Theodora C. Turner
Shiela A. Segal

 

This e-mail was sent from the Highmark ACA Individual Market team. If you have questions related to application status, enrollment, or billing, please contact the Producer Hotline via phone at 1-866-602-1248 or e-mail at Prodem@Highmark.com. For specific inquiries related to training, e-mail U65TrainingCertification@Highmark.com

This information is issued by Highmark Inc. d/b/a Highmark Blue Shield on behalf of its affiliated Blue companies, which are independent licensees of the Blue Cross Blue Shield Association. Highmark Inc. d/b/a Highmark Blue Shield and certain of its affiliated Blue companies serve Blue Shield members in the 21 counties of central Pennsylvania. As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Inc. or certain of its affiliated Blue companies also serve Blue Cross Blue Shield members in the 29 counties of western Pennsylvania, 13 counties of northeast Pennsylvania, the state of West Virginia plus Washington County, Ohio, and the state of Delaware. All references to Highmark in this document are references to Highmark Inc. d/b/a Highmark Blue Shield and/or to one or more of its affiliated Blue companies.