New MA Special Enrollment Period In New Mexico

This is an important announcement for agents with customers in New Mexico and for those with business in the state. The counties below are under a FEMA-designated SEP due to a disaster.

New Mexico

Declaration information

State declaration: Disaster

SEP incident date: 4/5/2022 - 6/2/2022

This SEP declaration is effective 4/5/2022 – TBD. When an end date is provided, the broker portal will be updated.

Impacted counties for SEP purposes: Colfax, Lincoln, Mora, San Miguel, and Valencia

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 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 will be considered 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!