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Health Plan Options

 

ACA Individual Market Update

 

 

 

COVID-19 SEP: Additional Updates

 

On January 28th, 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. In alignment with the Federal Marketplace, Pennie will make this SEP available to Market-place eligible consumers between February 15, 2021 through May 15, 2021. Additionally, Highmark will accept off-exchange applications through the Producer Portal, producer.highmark.com, and paper application forms.

Consumers who enroll under this SEP will be able to select a plan with coverage that starts the first of the month after the application was received by Highmark. Since applications can be received until the end of month under this SEP, please advise your clients to make payment at the time of enrollment to avoid additional delays in receiving ID cards.

*Reminder: SEP enrollments are commissionable. Contact the agency you write Individual business through to verify commission amounts. 

Reference the websites below for more information: 

Pennsylvania: Pennie will be hosting a broker workgroup on Friday, February 12th to discuss the COVID-19 Enrollment Period. Register for the broker workgroups on https://agency.pennie.com/brokers/.
To view the Pennie press release, visit agency.pennie.com/oe-stats-covidsep/

Delaware & West Virginia: CMS will be hosting a COVID-19 Emergency SEP webinar on Thursday, February 11th. Registration will close 24 hours prior to the webinar. Click here for more details.

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

 

Resources

 

Summary of Benefits and Agreements:
 https://shop.highmark.com/sales/#!/sbcs/hmbcbs

Pennsylvania
Pennie: 

Pennie offers monthly broker workgroups; register using the link below.
Broker Resources: https://agency.pennie.com/brokers/
Broker Support: 1-844-844-4440 
Hours: Monday through Friday, 8:00 a.m. - 7:00 p.m., Saturday, 8:00 a.m.- 1:00 p.m.

Delaware & West Virginia
Marketplace:

Office Hours are back! Don't miss out on the opportunity to have your questions answered by a CMS subject matter expert. Click here for more information. 
FAQs for Agents and Brokers
For assistance, e-mail FFMProducer-AssisterHelpDesk@cms.hhs.gov

HealthSherpa:
Broker Support: 888-684-1373
Hours: Monday through Friday, 8:00 a.m.- 8:00 p.m., Saturday, 10:00 a.m. - 7:00 p.m.
agent_support@healthsherpa.com