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Define "B Short Coverage Gap"


ILLMAS

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TP's wife and kids were covered by medicaid, medicaid did not renew coverage (income was too high), so TP was forced to include them under his work plan.  However, all this happened in September 2014 and open enrollment (employer plan) didn't start until Jan. 2015, so I was wondering if this TP family falls under B-Short Coverage Gap?

 

Thanks

 

MAS

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Actually, I believe your client could have applied for the exchange before the open period because of a life change situation.  Losing existing coverage is one of the situations that let you go onto the exchange outside the open enrollment period.  I think your client should have done this and the exception for short coverage gap does not apply.

 

Tom

Newark, CA

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