Special Election Period (SEP) in effect for Hawaii – Heavy Rains and Flooding

Please be advised that a state of emergency was declared, impacting individuals in certain Hawaii counties. This declaration allows for a one-time Special Enrollment Period (SEP), in the event beneficiaries were unable to make an election during another qualifying election period. Please reference the following guidelines for the incident period. This SEP applies to the impacted counties in Hawaii listed below.

Important Compliance Information

Who is Eligible:

This SEP opportunity is ONLY available to beneficiaries who:​

• Reside, or resided at the start of the SEP eligibility period described in this guidance, in an area for which a federal, state or local government entity has declared a disaster or other emergency or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area; and
• Were eligible for another election period at the time of the SEP eligibility period, and;
• Did not make an election during that other valid election period due to the disaster or other emergency.

Details:

Impacted Counties: Hawaii, Maui, Kalawao, Kaua’i, and the City and County of Honolulu

Incident Period: The incident period occurred on March 8, 2021 through July 5, 2021. The declaration was announced on March 8, 2021.

Timeframe: Effective immediately, individuals meeting the requirements listed above can enroll, dis-enroll, or switch MAPD plans until September 30, 2021.

*Note: Eligible enrollments will be effective the first of the month after the application has been processed.

Reminders:

Agents can accept/submit an application by the beneficiary’s request through the following steps:

1. Obtain a compliant Consent to Contact (C2C).
2. Capture a compliant Scope of Appointment (SOA).
3. Host a compliant 1:1 appointment.
4. If the beneficiary is prepared to enroll, complete an application noting this SEP

CMS and Centene will continue to monitor the circumstances in the affected areas and will communicate any changes, if necessary.

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