Special Enrollment Period
Lost Coverage or Life Event?
Qualify for Special Enrollment if you lost health insurance, lost job coverage, moved, turned 26, or had a qualifying life event.
For assistance call: 888-982-0356
Check Your Special Enrollment Eligibility
Lost coverage or had a life event? Enroll in Special Enrollment health insurance. For Assistance call: 888-982-0356
All fields are required:
Name
Contact
Reason
Step 1: Contact Information
Step 2: Contact Details
Step 3: Reason for Request
Application Submitted!
A licensed enrollment assistant will contact you shortly to help with your Marketplace Health Insurance options.
CALL 888-982-0356 NOWLicensed Assistance Available
2026 SPECIAL ENROLLMENT PERIOD
Open Enrollment Form. For assistance call: 888-982-0356
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