New Medicare SEPs Announced in Illinois, New York, and Oklahoma

This is an important announcement for agents with customers in Illinois, New York, and Oklahoma and for those with business in those states. The counties below are under a state-designated SEP due to an emergency.

ILLINOIS

Declaration information New

State declaration: Asylum Seekers

SEP Incident Date: 09/14/2022 – 11/11/2022

This SEP declaration is effective 09/14/2022 – 12/31/2022

Impacted counties for SEP purposes: All counties

NEW YORK

Declaration information New

State declaration: Polio

SEP Incident Date: 09/09/2022 – 11/07/2022

This SEP declaration is effective 09/09/2022 – 12/31/2022

Impacted counties for SEP purposes: All counties

OKLAHOMA

Declaration information New

State declaration: Drought

SEP Incident Date: 09/12/2022 – Ongoing

This SEP declaration is effective 09/12/2022 – Ongoing

Impacted counties for SEP purposes: All counties

IMPORTANT: Please be aware

• This does not mean that active marketing can occur.
• The SEP is only for the purpose of providing a SEP to impacted individuals who had a valid election during the incident and were 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 any questions, call us today at 866-568-9649!