Who is eligible?  

Any beneficiary who resides in, or resided in (at the start of the incident), an area that federal, state, or a local government entity has declared an emergency or disaster (see www.fema.gov/disasters).  

Beneficiaries who do not live in the impacted areas but receive assistance making healthcare decisions from someone who lives in one of the affected areas are also eligible; and  

The beneficiary had another valid election period at the time of the incident (Annual Enrollment Period (AEP), SEP or aged into Medicare), but did not make an election during that other valid election period due to the disaster or other emergency. 

What does this mean for beneficiaries?  

Beneficiaries who were eligible for a different SEP or aged into Medicare but were unable to enroll in a plan during the allotted time due to the disaster or other emergency have until the extended deadline to enroll.  

Enrollments received are effective the first day of the following month.  

Enrollment Overview 

If a consumer contacts you as a result of this SEP, you may help them enroll in one of our plans and may be eligible for a commission. You must: 

Ask the beneficiary for proof that the beneficiary resided in an affected area (e.g., driver’s license or utility bill reflecting the beneficiary’s address).   

If the beneficiary is unable to provide proof, ask the beneficiary if they attest that they lived/live in an area impacted by the FEMA declared emergency or disaster. 

Once you verify eligibility, you can proceed with the application. 

Application details: 

For paper, use the SEP election type code on the application. Write in Weather Related Emergency.  

For electronic applications in EvolveNXT, please select ‘DST’ the Declared Disaster/Emergency reason code. 

This is to alert you that an update has occurred to the FEMA declaration: 

Add – spreadsheet similar to what we will do for the training calendar so that we may add the list of SEP on here for agents to reference.  

Last updated Apr 22, 2024