Pay Close Attention To The Enrollment Calendar To Avoid Penalties
Mind the gap. When the 2015 open enrollment period begins on Nov. 15 for plans sold on the individual market, consumers should act promptly to avoid a gap in coverage.
Failing to do so could not only leave you exposed to unexpected medical bills鈥攈ello, appendicitis!鈥攂ut you could also be hit with the that kicks in if you鈥檙e without coverage for three months or more during the year. The coverage requirement applies to most people in group and individual plans unless they qualify for a hardship or other type of exemption.
In 2015, the greater of $325 or 2 percent of household income.

The open enrollment period runs through Feb. 15, 2015. But if you bought a plan last year and need to renew your coverage, you must do so by Dec. 15 if you want it to start Jan. 1.
In general, you must buy a plan by the 15th聽of the month in order to have coverage that starts the first of the next month.聽So if you buy a plan on Dec. 16, for example, your coverage won鈥檛 start until Feb. 1.
If you don鈥檛 have insurance and you buy a plan by Feb. 15, your coverage will begin by March 1 and you鈥檒l avoid owing the penalty聽since your coverage gap will be less than three months.
Last year, the marketplaces got off to a bumpy start and many people weren鈥檛 able to sign up for coverage before open enrollment ended on March 15. The federal government allowed anyone who got their application started before the deadline to avoid the penalty.
This year, President Barack Obama has vowed that the marketplace will function on time. 鈥淲e’re really making sure the website works super well before the next open enrollment period.聽 We’re double- and triple-checking it,鈥 .
There is also another way that people can be affected by the coverage gap.聽 For people who are receiving premium tax credits but lose or drop their coverage, health plans are to catch up with their premiums if they fall behind, as long as they鈥檝e already paid at least one month鈥檚 premium that year.聽But they don鈥檛 have 90 days before the coverage gap countdown starts. If after three months someone still hasn鈥檛 paid what he owes, retroactive to the beginning of the second month of the grace period. 聽In that case, the penalty clock for not having coverage would start ticking after the first month of nonpayment, says Judith Solomon, vice president for health policy at the Center on Budget and Policy Priorities.
People who aren鈥檛 receiving premium tax credits on the exchange would be subject to for nonpayment. Typically they鈥檇 have 30 days to pay up, Solomon says.
If you lose your job-based health insurance, you鈥檒l have 60 days聽after your coverage ends聽to sign up for new coverage. This 鈥渟pecial enrollment opportunity,鈥 as it鈥檚 called, would count toward a gap in coverage.
Although people are limited to a single coverage gap of less than three months annually, some may be able to sidestep the issue.
鈥淚f you have coverage on any day during a month you鈥檙e considered covered for the month,鈥 says Solomon.
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