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Health Coverage for Individuals and Families

Event Details

Event Description
Open Enrollment Open Enrollment is a period of time which eligible individuals can elect to enroll in, or transfer between, Qualified Health Plans.
Marriage A qualified individual gains a dependent or becomes a dependent through marriage.
Divorce A qualified individual or dependent loses minimum essential coverage through divorce.
Birth A qualified individual gains a dependent or becomes a dependent through birth.
Adoption A qualified individual gains a dependent or becomes a dependent through adoption or placement for adoption.
Change of Address A qualified individual or enrollee gains access to new QHPs as a result of a permanent move.
Voluntary Loss of Coverage A qualified individual or dependent voluntarily loses minimum essential coverage.
Involuntary Loss of Employer Coverage A qualified individual or dependent involuntarily loses minimum essential coverage through their employer.
Involuntary Loss of Individual Coverage A qualified individual or dependent involuntarily loses minimum essential coverage through their Health Insurance Carrier.
Involuntary Loss of Medicaid Coverage A qualified individual or dependent involuntarily loses minimum essential coverage through Medicaid.
Court Order A qualified individual gains a dependent or becomes a dependent through a court order.
Change in U.S. Citizenship An individual, who was not previously a citizen, national, or lawfully present individual gains such status.
HHS Eligible Determination of Change
  • A qualified individual's enrollment or non-enrollment in a QHP is unintentional, inadvertent, or erroneous and is the result of the error, misrepresentation, or inaction of an officer, employee, or agent of the Exchange or HHS, or its instrumentalities as evaluated and determined by the Exchange. In such cases, the Exchange may take such action as may be necessary to correct or eliminate the effects of such error, misrepresentation, or inaction;
  • An enrollee adequately demonstrates to the Exchange that the QHP in which he or she is enrolled substantially violated a material provision of its contract in relation to the enrollee;
  • An individual is determined newly eligible or newly ineligible for advance payments of the premium tax credit or has a change in eligibility for cost-sharing reductions, regardless of whether such individual is already enrolled in a QHP. The Exchange must permit individuals whose existing coverage through an eligible employer-sponsored plan will no longer be affordable or provide minimum value for his or her employer’s upcoming plan year to access this special enrollment period prior to the end of his or her coverage through such eligible employer sponsored plan;
  • A qualified individual or enrollee demonstrates to the Exchange, in accordance with guidelines issued by HHS, that the individual meets other exceptional circumstances as the Exchange may provide.
Other An individual, who was not previously a citizen, national, or lawfully present individual gains such status.
None (This is only an option in Nevada outside of Open Enrollment.) An individual does not have a Qualifying Event and is applying for coverage outside of the Annual Open Enrollment Period. This individual will be required to meet a waiting period of 90 days. The policy effective date will be the 1st of the month following the 90 day waiting period.
Close
Open enrollment ended on 3/31/2014. You may qualify for a Special Enrollment Period due to a Qualifying Life Event.

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Why CoventryOne?

The products offered by CoventryOne and our family of plans are ideal for individuals, students, recent graduates, young children, families and part-time workers. CoventryOne offers a range of affordable benefit plans to meet your health coverage needs.


Features of CoventryOne plans include:


  • Preventive Care
  • Routine wellness exams
  • Immunizations
  • Hospital Care
  • Urgent and emergency care
  • Fast and accurate claims payment processing
  • Friendly and courteous Customer Service support through our toll-free number
  • Password-protected online access to personal account information
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