Protecting the Consumer's Future

*The following SEP extends OEP in Monterey and San Luis Obispo Counties for existing Medicare Advantage Members*

2021 Active Disasters & Emergencies

Who qualifies for the SEP when disasters or emergencies were declared in 2021?

Effective January 1, 2021, an SEP exists for individuals affected by a disaster or other 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 are eligible for this SEP if they:

·        Reside, or resided at the start of the SEP eligibility period, 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 (2) 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.

California (Winter Storm) – Governor Declared a State of Emergency on January 29, 2021

Incident Period:  January 26, 2021 – No end date stated

SEP Start Date:  January 26, 2021

SEP End Date:  TBD

Counties:  Monterey, San Luis Obispo

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