Which scenario would make an applicant eligible to enroll in a QHP, provided all other criteria are met?

Which scenario would make an applicant eligible to enroll in a QHP, provided all other criteria are met?

• A. Permanently moving within the same county without new QHPs
• B. Permanently moving to a new county without qualifying coverage in the last 60 days
• C. Permanently moving to a new county and attesting to having qualifying coverage in the last 60 days
• D. Permanently staying in the same county and losing coverage

Answer: (C)

A move to a new county paired with a recent showing of qualifying health coverage is what enables enrollment in a Qualified Health Plan during a special enrollment period. When you permanently move to a different county, you’re entering a new service area that requires you to enroll in a plan within that new area. Coupling that move with an attestation that you had qualifying coverage in the last 60 days demonstrates continuity of coverage and satisfies the timing rule for a special enrollment window. Barring other criteria, this combination is what makes you eligible to enroll in a QHP in the new county. Moving within the same county doesn’t change your service area, so it doesn’t trigger the special enrollment period for a new QHP. Moving to a new county without qualifying coverage in the last 60 days fails to show the necessary recent coverage, so it wouldn’t meet the eligibility requirement. Staying in the same county and losing coverage doesn’t align with the stated condition of changing to a new county with recent qualifying coverage, so it wouldn’t establish eligibility under this scenario.

A move to a new county paired with a recent showing of qualifying health coverage is what enables enrollment in a Qualified Health Plan during a special enrollment period. When you permanently move to a different county, you’re entering a new service area that requires you to enroll in a plan within that new area. Coupling that move with an attestation that you had qualifying coverage in the last 60 days demonstrates continuity of coverage and satisfies the timing rule for a special enrollment window. Barring other criteria, this combination is what makes you eligible to enroll in a QHP in the new county.

Moving within the same county doesn’t change your service area, so it doesn’t trigger the special enrollment period for a new QHP. Moving to a new county without qualifying coverage in the last 60 days fails to show the necessary recent coverage, so it wouldn’t meet the eligibility requirement. Staying in the same county and losing coverage doesn’t align with the stated condition of changing to a new county with recent qualifying coverage, so it wouldn’t establish eligibility under this scenario.