Individual and Family

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Individual and Family Plan Articles

Popular Individual and Family Articles

Enrolling in an Individual and Family Plan by Phone

Get details on what to expect on an enrollment phone call for Individual and Family Plans.

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Individual and Family Plan Premium Reimbursement

Learn about the different types of reimbursement options and the advantages of each method.

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Benefits of Enrolling on the Website

Read about how enrolling on the website can save time and help you understand your coverage options.

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Individual and Family Plan Special Enrollment Periods

Understand what to do when you have a life-changing event and need to enroll in coverage outside of Open Enrollment.

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Individual and Family Basics

Coverage Information

Apply and Enroll

Managing Your Care

Individual and Family FAQs

  • As long as you keep paying your premium and don’t receive a notice of changes, the plan will continue as long as you don't enroll in other coverage. If you have a Premium Tax Credit (PTC) and haven’t chosen the option to allow the marketplace to verify finances automatically for the next year (up to five years), then the PTC will stop and you will have to pay the full premium.

    Read Keeping Your Marketplace Plan for Next Year to learn more.

  • You can enroll in a new plan during the Open Enrollment Period (OEP), November 1 through January 15. If it's not the OEP, you can enroll during a Special Enrollment Period (SEP) when you have a qualifying life event, such as changes in household or loss of health insurance.

    Read Individual and Family Plan Enrollment Periods to learn more.

  • You will receive a notification of enrollment from the marketplace or the carrier, depending on how you enrolled. In most cases, you will also receive a notice of payment due.

  • When you are shopping on the website, you can view plan details before you enroll in a plan.

  • When shopping for a new plan, you can view your current plan and compare the new coverage options.

  • You can opt in to funding by signing in to the website and selecting Your Funding Decision. You can also call us at 1-866-322-2824 to opt in to employer-sponsored funding or a Premium Tax Credit (PTC).

    Note: You can either accept your funding (if offered by your employer) or use a Premium Tax Credit, not both. Please call us if you need help determining if you qualify for a PTC.

    Read Employer Funding (HRA) Versus Premium Tax Credit to learn more.

We’re Here To Help

If you need additional assistance, you can contact our Support Team. We’re available Monday through Friday, 8 a.m. to 7 p.m. Eastern Time.

Call Us: 1-866-322-2824 (TTY: 711)