CORRECTED: New information on MA SEPs in Texas

There are a few updates involving the Special Enrollment Periods in Texas.

Newly announced SEPs

Incident date: 02/21/22 – TBD

This SEP declaration is effective 02/21/22 – 05/31/22.

Impacted counties for SEP purposes: Angelina, Archer, Armstrong, Atascosa, Bailey, Baylor, Borden, Bosque, Bowie, Brewster, Briscoe, Brown, Callahan, Cameron, Camp, Carson, Cass, Castro, Cherokee, Childress, Clay, Coke, Coleman, Collin, Collingsworth, Comanche, Cooke, Coryell, Cottle, Crosby, Culberson, Dallam, Dawson, Deaf Smith, Delta, Denton, Dickens, Dimmit, Donley, Duval, Eastland, Erath, Fannin, Fisher, Floyd, Foard, Franklin, Frio, Gaines, Garza, Gray, Grayson, Hall, Hamilton, Hansford, Hardeman, Harrison, Hartley, Haskell, Hemphill, Hidalgo, Hill, Hood, Hopkins, Houston, Howard, Hunt, Hutchinson, Jack, Jeff Davis, Johnson, Jones, Kaufman, Kent, King, Knox, Lamar, Lamb, Lampasas, La Salle, Lipscomb, Live Oak, Loving, Lubbock, Lynn, Marion, Martin, Maverick, McLennan, McMullen, Midland, Mills, Mitchell, Montague, Moore, Morris, Motley, Nacogdoches, Nolan, Ochiltree, Oldham, Palo Pinto, Panola, Parker, Parmer, Pecos, Potter, Presidio, Rains, Randall, Red River, Reeves, Roberts, Rockwall, Runnels, Rusk, San Augustine, San Saba, Scurry, Shackleford, Shelby, Sherman, Somervell, Stephens, Sterling, Stonewall, Swisher, Tarrant, Taylor, Terrell, Terry, Throckmorton, Titus, Upton, Val Verde, Van Zandt, Ward, Webb, Wheeler, Wichita, Wilbarger, Winkler, Wise, Young, and Zavala

Incident date: 01/06/22 – TBD

This SEP declaration is effective 01/06/22 – 04/30/22. 

Impacted counties for SEP purposes:  Andrews, Baylor, Borden, Brewster, Cameron, Carson, Castro, Childress, Collingsworth, Cottle, Culberson, Dallam, Dawson, Deaf Smith, Dimmit, Fisher, Foard, Gray, Hansford, Hardeman, Hartley, Haskell, Hemphill, Hidalgo, Howard, Hutchinson, Jones, Knox, Lamar, Martin, Maverick, Midland, Moore, Motley, Ochiltree, Oldham, Pecos, Potter, Presidio, Randall, Roberts, Scurry, Sherman, Stonewall, Terrell, Throckmorton, Upton, Ward, Wheeler, Wichita, Wilbarger, and Winkler

New counties added to a previously announced SEP

Incident date: 02/23/2022 – TBD.

This SEP declaration is effective 02/23/2022 – 06/30/2022.

Impacted counties for SEP purposes:  Brooks, Brown, Coleman, Comanche, Eastland, Grayson, Mason, Potter, Randall, Reynolds, and Williamson.

Additional counties announced: Blanco, Erath, Hood, Runnels, and Starr

Additional county added on March 27: Medina 3/27/22 – 6/30/22

This SEP declaration is effective for Medina County 03/27/22 – 06/30/22

Additional counties added on April 1: Andrews, Aransas, Archer, Bee, Bell, Borden, Bosque, Brewster, Cameron, Coke, Concho, Cooke, Crane, Crockett, Culberson, Dawson, Dimmit, Duval, Ector, Edwards, Gaines, Garza, Hemphill, Hidalgo, Howard, Hudspeth, Jeff Davis, Jim Hogg, Jim Wells, Kennedy, Kimble, Kleberg, Live Oak, Martin, Maverick, McCulloch, Menard, Midland, Nueces, Palo Pinto, Parker, Pecos, Presidio, Reagan, Real, Refugio, Roberts, Terrell, Tom Green, Upton, Wichita, Willacy, Winkler, Wise, Zapata, and Zavala 

This SEP declaration is effective 04/01/22 – 07/31/22

Previously announced SEP with no changes

Incident date: 03/21/2022 – TBD.

This SEP declaration is effective 03/21/2022 – 06/30/2022.

Impacted counties for SEP purposes:  Bastrop, Cass, Cooke, Grayson, Guadalupe, Houston, Jack, Madison, Marion, Montague, Nacogdoches, Panola, Rusk, Upshur, Williamson, and Wise

IMPORTANT: Please be aware

• This does not mean that active Marketing can occur.
• Impacted individuals must have missed a valid election during the incident and unable to make that election due to the emergency.
• This does not mean we initiate waiving of authorization or referral requirements.
• This does not extend waiving of prior authorizations, referrals etc.  

SEP for Government Entity-Declared Disaster or Other Emergency 

42 CFR 422.62(b)(18) 

(Rev. 2, Issued: August 12, 2020; Effective/Implementation: 01-01-2021) 

An SEP exists 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 includes both enrollment and disenrollment elections. 

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 healthcare 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. 

The SEP starts as of the date the declaration is made, the incident start date or, if different, the start date identified in the declaration, whichever is earlier. The SEP ends two full calendar months following the end date identified in the declaration or, if different, the date the end of the incident is announced, whichever is later.

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