Special Election Period (SEP) in effect for Pennsylvania

Special Enrollment Period: Pennsylvania Emergency Declaration - Hurricane Debby

Please be advised that a state of emergency was declared, impacting individuals in all Pennsylvania 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 impacted counties in Pennsylvania listed below.

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This SEP allows for enrollment and disenrollment elections. For more information, go to CY2024 MA Enrollment and Disenrollment Guidance.

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Who's eligible?

Individuals are 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 health care 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.

Enrollment instructions

IMPORTANT: Remember, you cannot use this SEP opportunity to proactively market to beneficiaries. However, you can assist any clients who contact you about this SEP.

• If an individual wants to enroll and believes they may qualify for this SEP, you need to ask the beneficiary if they can show proof that they lived/live in an impacted area at the start of the incident period. If they do not have proof, ask them to verbally attest.
• When helping eligible clients enroll, please select the weather-related or major disaster option in the Reasons for Special Enrollment Period Eligibility section of the application.  

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Additional information

If the incident end date of an emergency or major disaster is not otherwise identified, the incident end date is 1 year after the SEP start date; or, if applicable, the date of a renewal or extension of the emergency or disaster declaration, whichever is later. The maximum length of this SEP, if the incident end date is not otherwise identified, is 14 full calendar months after the SEP start date or, if applicable, the date of a renewal or extension of the emergency or disaster declaration.

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Details

Disaster or emergency: Hurricane Debby

Impacted counties: Adams, Bedford, Berks, Bradford, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Cumberland, Dauphin, Elk, Fulton, Indiana, Lackawanna, Luzerne, Lycoming, Monroe, Pike, Potter, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York counties

Incident start & end dates: 08/09/2024 - 08/30/2024

SEP start & end dates: 08/09/2024 - 11/30/2024

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