New to Health Insurance

New to Health Insurance and Missed Open Enrollment? You Can Still Get Insured Fast.

If this is the first time you're trying to buy health insurance and you missed Open Enrollment, don't worry: the ACA lets you enroll any time you experience a qualifying life event. This is called a Special Enrollment Period (SEP), and it gives first-time buyers a 60-day window to get insured fast.

Qualifying life events that open a 60-day SEP

  • Losing job-based health coverage (you, your spouse, or a parent)
  • Getting married or divorced
  • Having a baby, adopting, or gaining a foster child
  • Moving to a new ZIP code or state
  • Aging off a parent's plan at 26
  • Becoming a U.S. citizen or lawful resident
  • Income changes that affect your subsidy eligibility
  • Leaving incarceration
  • Gaining or losing membership in a federally recognized tribe

When the clock starts

Most SEPs run for 60 days from the date of the qualifying event. Some (like loss of coverage) also give you a 60-day window BEFORE coverage ends — which is your chance to keep coverage with zero gap. Don't wait until day 59. Carriers need a few days to issue cards.

What you'll need to prove it

The marketplace may ask for documentation depending on the event:

  • Job loss: termination letter or HR coverage-end notice
  • Marriage: marriage certificate
  • Birth/adoption: birth certificate or adoption decree
  • Move: lease, mortgage statement, or utility bill at new address
  • Aging off a plan: prior plan card + birth date proof

What if I don't have a qualifying event?

Two options. (1) Short-term medical plans available year-round — not ACA-compliant, doesn't cover pre-existing conditions, but better than nothing as a bridge. (2) Wait until November 1 for the next Open Enrollment. We'll set a reminder and have your options ready the day it opens.

Year-round enrollment if you're low-income

If your household income is at or below 150% of the Federal Poverty Level (~$22,590 for a single adult, ~$46,800 for a family of four), you can enroll in an ACA marketplace plan any time of year — no qualifying event required. Many people who qualify don't know this rule exists.

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