SEP Announcements - FL, NC, NJ, OR, & KY

Florida Emergency Declaration – Inclement Weather

Please be advised that a state of emergency was declared, impacting individuals in certain Florida counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the Florida counties listed below.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

• 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.

Details:

• Impacted Counties: Alachua, Baker, Bay, Bradford, Brevard, Calhoun, Citrus, Clay, Columbia, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, Hernando, Hillsborough, Homes, Jackson, Jefferson, Lafayette, Lake, Leon, Levy, Liberty, Madison, Marion, Nassau, Okaloosa, Orange, Osceola, Pasco, Pinellas, Polk, Putnam, Santa Rosa, Seminole, Sumter, St. Johns, Suwannee, Taylor, Union, Volusia, Wakulla, Walton, Washington  
• Incident Period: The incident period is January 9, 2024 – March 9, 2024. The declaration was announced on January 9, 2024.
• Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until May 31, 2024.
• *Note: Eligible enrollments will be effective the first of the month after the application has been processed.

North Carolina Emergency Declaration – Winter Storm

Please be advised that a state of emergency was declared, impacting individuals in all New Carolina counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all North Carolina counties.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

• 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.

Details:

• Impacted Counties: All counties  
• Incident Period: The incident period is January 8, 2024 - February 7, 2024. The declaration was announced on January 8, 2024.
• Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until April 30, 2024.
• *Note: Eligible enrollments will be effective the first of the month after the application has been processed.

North Carolina Emergency Declaration – Wildfire

Please be advised that a state of emergency was declared, impacting individuals in all New Carolina counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all North Carolina counties.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

• 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.

Details:

• Impacted Counties: Alexander, Alleghany, Ashe, Avery, Buncombe, Burke, Cabarrus, Caldwell, Catawba, Cherokee, Clay, Cleveland, Gaston, Graham, Haywood, Henderson, Iredell, Jackson, Lincoln, Macon, Madison, McDowell, Mecklenburg, Mitchell, Polk, Rowan, Rutherford, Swain, Transylvania, Union, Watauga, Wilkes, Yancey, Also territories held by the Eastern Band of Cherokee Indians. Anson, Caswell, Davidson, Davie, Forsyth, Guilford, Montgomery, Moore, Randolph, Richmond, Rockingham, Scotland, Stanly, Stokes, Surry, and Yadkin counties  
• Incident Period: The incident period is 11/08/2023 - 12/08/2023.
• SEP start and end dates: 11/8/2023 - 2/29/2024

New Jersey Emergency Declaration – Winter Storms

Please be advised that a state of emergency was declared, impacting individuals in all New Jersey counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all New Jersey counties.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

• 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.

Details:

• Impacted Counties: All counties  
• Incident Period: The incident period is January 8, 2024. The declaration was announced on January 8, 2024.
• Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until March 31, 2024.
• *Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Oregon Emergency Declaration – Winter Storms

Please be advised that a state of emergency was declared, impacting individuals in certain Oregon counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the Oregon counties listed below.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

• 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.

Details:

• Impacted Counties: Coos, Curry, Douglas, Jackson, Tillamook  
• Incident Period: The incident period is December 1 – December 12, 2023. The declaration was announced on January 4, 2024.
• Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until March 31, 2024.
• *Note: Eligible enrollments will be effective the first of the month after the application has been processed.

    
Kansas Emergency Declaration – Winter Storms

Please be advised that a state of emergency was verbally declared, impacting individuals in all Kansas counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to all Kansas counties.

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

• 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.

Details:

• Impacted Counties: All counties
• Incident Period: The incident period is January 8, 2024. The declaration was announced on January 8, 2024.
• Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until March 31, 2024.
• *Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

• Agents can accept/submit a Medicare Advantage or Prescription Drug Plan application by the beneficiary’s request through the following steps:
• Obtain a compliant Consent to Contact (C2C).
• Capture a compliant Scope of Appointment (SOA).
• Host a compliant 1:1 appointment.
• If the beneficiary is prepared to enroll, complete an application noting this SEP, by selecting the Emergency or Major Disaster option. WARNING! Only select one election type.