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Special Enrollment Period (SEP) FAQs

Missed open enrollment? A Special Enrollment Period allows you to enroll in Covered California outside the annual enrollment window if you experience a qualifying life event.

What is a Special Enrollment Period?

A Special Enrollment Period (SEP) is a window of time outside the annual Open Enrollment when you can sign up for health insurance through Covered California.

You qualify for a SEP when you experience certain life changes, called "qualifying life events" (QLEs).

Key Point: Most SEPs last 60 days from your qualifying event date.

Qualifying Life Events

The following events may qualify you for a Special Enrollment Period:

Changes in Household

  • Marriage or domestic partnership
  • Divorce or legal separation
  • Birth or adoption of a child
  • Death of a covered family member

Loss of Coverage

  • Lost employer coverage
  • Aging off parent's plan (turning 26)
  • COBRA coverage ending
  • Lost Medi-Cal eligibility

Changes in Residence

  • Moving to California
  • Moving within California (new county)
  • Leaving incarceration

Other Qualifying Events

  • Becoming a U.S. citizen
  • Gaining lawful presence status
  • Income changes affecting Medi-Cal

SEP Enrollment Deadlines

Most Special Enrollment Periods last 60 days from the date of your qualifying event.

Event Type Enrollment Window Coverage Start
Loss of coverage 60 days before or after 1st of month after enrollment
Marriage/Domestic partnership 60 days after 1st of month after enrollment
Birth/Adoption 60 days after Retroactive to birth/adoption date
Moving 60 days before or after 1st of month after enrollment

Required Documentation

You'll need to provide proof of your qualifying life event. Common documents include:

  • Loss of coverage: Termination letter, COBRA notice, or employer letter
  • Marriage: Marriage certificate
  • Birth/Adoption: Birth certificate or adoption papers
  • Moving: Lease agreement, utility bill, or change of address confirmation
  • Turning 26: ID showing birthdate
Important: Have your documentation ready when you apply to avoid delays.

How to Apply for a SEP

  1. Gather your documents proving your qualifying life event
  2. Apply online or through a certified agent
  3. Select your qualifying event during the application
  4. Upload documentation when prompted
  5. Choose your plan and complete enrollment
  6. Pay your first premium to activate coverage

Need Help with Your SEP?

Our licensed agents can help you navigate the Special Enrollment process at no cost.

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