Help Consumers Resolve SEP Verification Issues for Loss of Coverage

We’re reaching out to notify you that pre-enrollment verification for the Marketplace loss of minimum essential coverage (MEC) Special Enrollment Period (SEP) will begin on Friday, May 16, 2025.

How will this impact consumers?

If a consumer attests to having experienced or anticipates a loss of MEC and becomes eligible for a SEP, but our systems are unable to automatically verify this loss, the consumer will need to provide documentation confirming the loss or anticipated loss of coverage before they can use their plan.

A Special Enrollment Period Verification Issue (SVI) is triggered once a plan is selected, and manual verification is needed for the loss of MEC. Consumers will have 30 days to submit acceptable documentation to resolve the SVI. If the SVI is not resolved within the 30-day period, the consumer will not be able to use their health coverage.

What can you do to help?

Know which documents are accepted. Review the list of documents that can be used to verify a loss of MEC so you can effectively guide consumers.
Upload or mail documents as soon as possible so that consumers can use their Marketplace plan and avoid potential gaps in coverage.
Learn about SEP Verification (SEPV) and SVI.

More Information

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