Special Election Period (SEP) in effect for Texas

Special Enrollment Period: Texas - Emergency Declaration - Flooding

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

Important Compliance Information

Who is eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

• 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.

Details:

Impacted Counties: Camp, Culberson, Dallas, Duval, Ellis, El Paso, Henderson, Hopkins, Hudspeth, Kaufman, Kerr, Live Oak, Marion, Montague, Navarro, Pecos, Rains, Smith, Tarrant, Upshur, Van Zandt, Webb, and Wood

Incident Period: The incident period occurred on August 23, 2022 and is ongoing. The declaration was announced on August 23, 2022.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD or PDP plans until TBD.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit a Medicare Advantage or Prescription Drug Plan application by the beneficiary’s request through the following steps:

1. Obtain a compliant Consent to Contact (C2C).
2. Capture a compliant Scope of Appointment (SOA).
3. Host a compliant 1:1 appointment.
4. If the beneficiary is prepared to enroll, complete an application noting this SEP, either by selecting the "Emergency or Major Disaster" option or writing "Severe Weather" in the "Other" option. WARNING! Only select one election type.

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