This is an important announcement for agents with customers in Kentucky, North Carolina, Oklahoma, Texas, and West Virginia and for those with business in these states. The counties below are under a federal or state designated SEP due to an emergency.
Please note: A disaster SEP application is only valid while the SEP declaration is in effect. If an end date is not listed below, please refer to our Ongoing SEP tracker in Producers’ University for the most up-to-date information. Any SEP applications submitted outside of that SEP’s declaration date will be rejected.
IMPORTANT: Please be aware
- This does not mean that active marketing can occur.
- The SEP is only for the purpose of providing a SEP to impacted individuals who had a valid election during the incident and were unable to make that election due to the emergency.
- This does not mean that Cigna Healthcare initiates waiving of authorization or referral requirements. This does not extend waiving of prior authorizations, referrals etc.
SEP for Government Entity-Declared Disaster or Other Emergency
42 CFR 422.62(b)(18)
(Rev. 2, Issued: August 12, 2020; Effective/Implementation: 01-01- 2021)
An SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state, or local government entity who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections.
Individuals are eligible for this SEP if they:
- reside or resided at the start of the SEP eligibility period where a federal, state, or local government entity declared a disaster or other emergency.
- were eligible for another election period at the time of the Disaster Election Period (DST) eligibility period.
- did not make an election during that other valid election period due to the disaster or other emergency. The SEP starts on the date the declaration was made or the incident start date whichever is earlier. The SEP ends two full calendar months following the end date identified in the declaration or the date the end of the incident is announced, whichever is later.
The SEP starts on the date the declaration was made or the incident start date whichever is earlier. The SEP ends two full calendar months following the end date identified in the declaration or the date the end of the incident is announced, whichever is later.
North Carolina
State declaration: Severe Weather
SEP incident dates: 05/08/2024 – 08/19/2024
This SEP declaration is effective: 05/08/2024 – 09/30/2024
Impacted counties for SEP purposes: Cleveland, Gaston, Lincoln, and Mecklenburg Counties
Questions? Concerns? We can help! Reach out to Agility by visiting our website or by calling 866-590-9771.
