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Important update on Special Enrollment Period effective dates for 2025

Large Group, Small Group, Individual, National | CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, CA, GA, NY-DOWNSTATE, NY-UPSTATE

A recent notice from the Department of Health and Human Services (HHS) regarding Benefit and Payment Parameters for 2025 impacts the effective dates for certain Special Enrollment Periods (SEPs), offering a streamlined approach for brokers and their clients.

Here's what’s changed:

Previously, if a member applied for coverage after the 15th of the month, their insurance would start on the first day of the second following month. With the 2025 update, members enrolling during select SEPs will have an effective start date on the first of the month, regardless of when they apply within that month.

If you have any questions, please contact your Anthem representative.