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    industry updates9

    Important and up to date news regarding the insurance industry.

    Aetna & The NC SEP

    A special enrollment period (SEP) exists for qualifying Medicare beneficiaries in North Carolina. This SEP is for individuals affected by a disaster or other emergency declared by a federal, state, or local government entity who were unable to, and did not make an election during another valid election period. This SEP allows for enrollment and disenrollment elections. You can find more information in the CY2021 MA Enrollment and Disenrollment Guidance.

    Here's what you need to know about the SEP in North Carolina

    The SEP information provided below is based on the following government entity source: FEMA. The SEP start and end dates are accurate as of the date of this communication.**  

    Type of disaster or emergency

    Impacted area in North Carolina

    Incident start & end dates

    SEP start & end dates**

    Winter storm

    Entire state

    2/17/21 - 3/19/21

    2/17/21 - 5/31/21

    Winter storm

    Entire state

    3/18/21 - 4/17/21

    3/18/21 - 6/30/21

    Who's eligible?

    Individuals are eligible for this SEP if they:

    • Reside, or resided at the start of the SEP eligibility period, described in this guidance, in an area for which a federal, state, or local government entity has declared a disaster or other emergency. Or, they do not reside in an affected area, but rely on help making health care decisions from one or more individuals who reside in an affected area; and 
    • Were eligible for another election period at the time of the SEP eligibility period; and
    • Did not make an election during that other valid election period due to the disaster or other emergency. 

    Guidance for assisting eligible clients 

    IMPORTANT: Remember, you cannot use this SEP opportunity to proactively market to beneficiaries. However, you can assist any clients who contact you about this SEP.  When helping eligible clients enroll, in the Reasons for Special Enrollment Period Eligibility section on the enrollment application, agents must indicate “none of these statements apply to me.”

    If you have questions, call us today at 866-568-9649!


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