CMS Final Rule Extends Marketplace Open Enrollment to January 15, 2022


On September 17, 2021, the Centers for Medicare & Medicaid Services (CMS) finalized changes that follow through on President Biden’s promise to build on the Affordable Care Act and expand health coverage access for Americans. The changes are the third installment of the payment notice for 2022.


There are many important policy updates that Marketplace agents and brokers should be aware of prior to the beginning of the plan year 2022 Open Enrollment Period (OEP). These include:

  • An extension of the OEP is extended from November 1, 2021, to January 15, 2022, annually for Marketplaces on the federal platform.

  • Clarification for Special Enrollment Period (SEP) rules regarding enrollees who qualify for a maximum advance premium tax credit (APTC) amount of zero dollars.

  • A monthly SEP for APTC-eligible individuals whose household income does not exceed 150 percent of the federal poverty level (FPL).

  • Clarification on the full range of Direct Enrollment (DE) and Enhanced Direct Enrollment (EDE) options available for OEP. 

To ensure you’re ready for OEP, access the ACA contracting you need and complete your ACA Certifications to be ready to sell!

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