Life & Health · Question-card directory

QUESTION CARD Q078 · HEALTH PLANS & COSTS

Special Enrollment

Understand the answer, compare the alternatives, and review the related terms.

CARD Q078

A person loses qualifying employer health coverage outside annual open enrollment. What should be checked next?

  1. Guaranteed enrollment without any deadline
  2. Automatic continuation without an election or premium
  3. Eligibility and deadline for a special enrollment period
  4. A new annual open-enrollment period for all applicants
CORRECT ANSWER · C

Eligibility and deadline for a special enrollment period

A qualifying event can open a limited enrollment opportunity. The applicable program’s event, documentation, and timing rules govern.

Why each choice is right or wrong

A. Guaranteed enrollment without any deadline

Incorrect. Special enrollment has conditions and deadlines; it is not open-ended.

B. Automatic continuation without an election or premium

Incorrect. Continuation can require an election and premiums.

C. Eligibility and deadline for a special enrollment period

Correct. A qualifying event can open a limited enrollment opportunity. The applicable program’s event, documentation, and timing rules govern.

D. A new annual open-enrollment period for all applicants

Incorrect. One person’s qualifying event does not create a new annual enrollment period for everyone.

Review the related terms

Use these lessons to revisit the concepts and try additional practice questions.

Sources & further reading