{"id":12726,"date":"2026-02-12T16:55:24","date_gmt":"2026-02-12T21:55:24","guid":{"rendered":"https:\/\/www.bluekc.com\/blueprint\/?p=12726"},"modified":"2026-02-17T14:28:50","modified_gmt":"2026-02-17T19:28:50","slug":"point-qualifying-clients-to-an-aca-special-enrollment-period","status":"publish","type":"post","link":"https:\/\/www.bluekc.com\/blueprint\/agents\/client-member-resources\/point-qualifying-clients-to-an-aca-special-enrollment-period\/","title":{"rendered":"Point qualifying clients to an ACA Special Enrollment Period"},"content":{"rendered":"\n<p>While the annual Open Enrollment Period (OEP) has ended for 2026 health plan coverage, your clients may be eligible for a Special Enrollment Period (SEP).<\/p>\n\n\n\n<p>SEP qualifying events include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Being at or below 150% of the Federal Poverty Level (FPL)<\/li>\n\n\n\n<li>Losing health coverage due to a life event<\/li>\n\n\n\n<li>Getting married or divorced<\/li>\n\n\n\n<li>Having or adopting a child<\/li>\n\n\n\n<li>Permanently moving somewhere with different health insurance options<\/li>\n\n\n\n<li>Aging off parent\u2019s health insurance plan<\/li>\n\n\n\n<li>Losing a job, losing Medicaid or CHIP eligibility, or expiring COBRA coverage<\/li>\n\n\n\n<li>Having a change in income or household status that changes eligibility for tax<br>credits or cost-sharing reductions<\/li>\n\n\n\n<li>Having a plan involuntarily canceled by an insurance company<\/li>\n<\/ul>\n\n\n\n<p>Once you determine a client is eligible for an SEP, it is critical to provide the appropriate documentation as proof of the event. This&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2025\/02\/Off-Exchange-SEP-Documentation-2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>list of documents<\/strong><\/a>&nbsp;is a helpful resource.<\/p>\n\n\n\n<p>Learn more about SEPs and Blue KC plans at <a href=\"https:\/\/urldefense.com\/v3\/__https:\/public-usa.mkt.dynamics.com\/api\/orgs\/a320d86b-4d5e-4396-864e-aeb8947957a2\/r\/x4pvehv2TUe2rRUU0cQBAAgAAAA?msdynmkt_target=*7B*22TargetUrl*22*3A*22https*253A*252F*252Fwww.bluekc.com*252Fknowledge-hub*252Faffordable-care-act-basics*252Fhow-to-enroll*252F*2523special-enrollment*22*2C*22RedirectOptions*22*3A*7B*220*22*3Anull*7D*7D&amp;msdynmkt_digest=SeB2QFbAg4dC5RgHc21sUdp*2BSSfJ7ZtphN*2FliLkNgRU*3D&amp;msdynmkt_secretVersion=a587597bbd2d4ba3bb4334f6d8be15ee__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUl!!OuobCkb3!8MhF-l4toVFEA_hhnsMAkKqu-vRHcshDClMAYYlz4C4Wg8bb6Xm71BLsQRyvDTjp5Kx4SgoSHgGII9zRaBFK$\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Special Enrollments<\/strong><\/a>.<\/p>\n\n\n\n<div class=\"cta-form cta-click-to-call cta-members-login-and-download theme-dark bg-shield bg-shield-right-positioned\">\n    <div class=\"col cta-section\">\n                    <h3>Share these SEP resources with your clients.\u00a0<\/h3>\n            <\/div>\n    <div class=\"col btn-group--vertical\">\n                <a class=\"btn btn-transparent\" href=\"https:\/\/urldefense.com\/v3\/__https:\/public-usa.mkt.dynamics.com\/api\/orgs\/a320d86b-4d5e-4396-864e-aeb8947957a2\/r\/x4pvehv2TUe2rRUU0cQBAAgAAAA?msdynmkt_target=*7B*22TargetUrl*22*3A*22https*253A*252F*252Fwww.bluekc.com*252Fknowledge-hub*252Faffordable-care-act-basics*252Fhow-to-enroll*252F*2523special-enrollment*22*2C*22RedirectOptions*22*3A*7B*220*22*3Anull*7D*7D&#038;msdynmkt_digest=SeB2QFbAg4dC5RgHc21sUdp*2BSSfJ7ZtphN*2FliLkNgRU*3D&#038;msdynmkt_secretVersion=a587597bbd2d4ba3bb4334f6d8be15ee__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUl!!OuobCkb3!8MhF-l4toVFEA_hhnsMAkKqu-vRHcshDClMAYYlz4C4Wg8bb6Xm71BLsQRyvDTjp5Kx4SgoSHgGII9zRaBFK$\" target=\"_blank\">ACA Special Enrollments<\/a>\n                <a class=\"btn btn-light\" href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2025\/02\/Off-Exchange-SEP-Documentation-2.pdf\" target=\"_blank\">Required Documents Flyer<\/a>\n    <\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\r\n\t\t\t<div id=\"daexthefu-container\"\r\n\t\t\t\tclass=\"daexthefu-container daexthefu-layout-side-by-side daexthefu-alignment-left\"\r\n\t\t\t\tdata-post-id=\"12726\">\r\n\r\n\t\t\t\t<div class=\"daexthefu-feedback\">\r\n\t\t\t\t\t<div class=\"daexthefu-text\">\r\n\t\t\t\t\t\t<h3 class=\"daexthefu-title\">Was this helpful?<\/h3>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<div class=\"daexthefu-buttons-container\">\r\n\t\t\t\t\t\t<div class=\"daexthefu-buttons\">\r\n\t\t\t\t\t\t\t\r\n\t\t\t<div class=\"daexthefu-yes daexthefu-button daexthefu-button-type-icon\" data-value=\"1\">\r\n\t\t\t\t\r\n                <svg>\r\n                    <defs>\r\n                        <style>.thumb-up-cls-1{fill:#c9c9c9;}.thumb-up-cls-2{fill:#e1e1e1;}.thumb-up-cls-3{fill:#676767;}<\/style>\r\n                    <\/defs>\r\n                    <g id=\"thumb_up\">\r\n                        <path class=\"thumb-up-cls-2 daexthefu-icon-circle\" 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d=\"m30.57,38.94l-.49.1c-.81.17-1.61-.35-1.78-1.16l-5.3-11.74c-.17-.81,3.16-1.61,3.97-1.78l1.96-.41c.81-.17,1.61.35,1.78,1.16l2.18,10.27c.34,1.61-.7,3.21-2.31,3.56Z\" \/>\r\n                            <path class=\"thumb-down-cls-1 daexthefu-icon-primary-color\" d=\"m38.17,28h-18.67c-.83,0-1.5-.67-1.5-1.5v-12c0-.83.67-1.5,1.5-1.5h16.27c.71,0,1.33.5,1.47,1.21l2.4,12c.19.93-.53,1.8-1.47,1.8Z\" \/>\r\n                        <\/g>\r\n                    <\/g>\r\n                <\/svg>\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"daexthefu-comment\">\r\n\t\t\t\t\t<div class=\"daexthefu-comment-top-container\">\r\n\t\t\t\t\t\t<label id=\"daexthefu-comment-label\" class=\"daexthefu-comment-label\"><\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"daexthefu-comment-character-counter-container\">\r\n\t\t\t\t\t\t\t\t<div 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Enrollment Period (OEP) has ended for 2026 health plan coverage, your clients may be eligible for a Special Enrollment Period (SEP). SEP qualifying events include: Once you determine a client is eligible for an SEP, it&#8230;<\/p>\n","protected":false},"author":26,"featured_media":12728,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_helpful_status":1,"_analytify_skip_tracking":false,"footnotes":""},"categories":[2,4,7],"tags":[58],"post-on-community-impact":[],"class_list":["post-12726","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agents","category-client-member-resources","category-gated-agent","tag-agents-ifp-aca"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Point qualifying clients to an ACA Special Enrollment Period - The Blueprint<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bluekc.com\/blueprint\/agents\/client-member-resources\/point-qualifying-clients-to-an-aca-special-enrollment-period\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Point qualifying clients to an ACA Special Enrollment Period - The Blueprint\" \/>\n<meta property=\"og:description\" content=\"While the annual Open Enrollment Period (OEP) has ended for 2026 health plan coverage, your clients may be eligible for a Special Enrollment Period (SEP). 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