How to Enroll


Enroll by Phone

Illinois: 1-877-686-1168 (TTY 711)

Washington: 1-877-561-1527 (TTY 711)

Enroll In-Person

Visit us at:

Health Alliance Connections
3301 Fields South Drive
#105
Champaign IL 61822

When You Can Enroll

Open Enrollment Period (OEP)

November 1 to December 15

The period the government sets for you to enroll each year. For 2018, it runs from November 1 to December 15.

Enroll in Public Plans   Enroll in Plans Directly From Us

Enroll in Plans Directly From Us

You can also get covered with a Short-Term Plan.

Special Enrollment Period (SEP)

Within 60 Days of a Life-Changing Event

After the OEP, you can only enroll within 60 days of a special event with a Special Enrollment Period (SEP). You can choose your SEP type on the first page of the enrollment application.

These are the different kinds of SEPs. Choose yours to see when your coverage would start and what documents we'd need to verify the event.

  • Got married or entered into a civil-union partnership

    You can enroll yourself, your new spouse, and any other dependents not enrolled on a plan.

    Date of Event Submit Your Application & Documentation Your Start Date
    Your coverage starts the first of the next month March 10 March 20 April 1

     

    You must verify this event to enroll in one of our plans. We will accept these documents as verification:

    • Marriage license or certificate
    • Official public record of the marriage
    • Affidavit or statement signed by marriage officiator
    • Affidavit or statement signed by marriage witness
    • Religious document that recognizes marriage
    • Domestic partnership certificate
    • Civil union certificate

     

  • Had, adopted, or had a child placed with me
    Start Date Options Date of Event Submit Your Application & Documentation Your Start Date
    1. Choose for coverage to start on the actual date of the event March 10 March 20 March 10
    2.Choose for coverage to start on the first of the month following the event March 10 March 20 April 1
    3. Choose for coverage to start with regular effective dates:
    If we get your application on or before the 15th of the month, your coverage starts the first of the next month March 10 March 14 April 1
    If we get your application after the 15th of the month, your coverage starts the first of the next following month March 10 March 17 May 1

     

    You must verify this event to enroll in one of our plans. If you have the birth of a child, we will accept these documents as verification:

    • Hospital-issued birth certificate
    • Birth certificate or application for a birth certificate
    • Social Security number (SSN) or application for SSN
    • Foreign birth record
    • Military record showing the child’s date and place of birth
    • Religious record showing the child’s date and place of birth
    • Letter or other document from the health insurance company, like an Explanation of Benefits, showing services related to birth or post-birth

    If you adopt or have a child placed with you, we will accept these documents as verification:

    • Birth certificate that includes the name of the adopting parent
    • Certificate with the date of adoption
    • Court documents showing placement for adoption
    • Notarized statement by the adoption agency that adoption proceedings have been initiated and that the child has been placed for adoption

        OR

    • Notarized letter from the policyholder’s lawyer that defines the parties involved and terms of the appointment, which should include a statement indicating that the policyholder is responsible for the medical care of the child.

     

  • Gained a dependent under a court order
    Start Date Options Date of Event Submit Your Application & Documentation Your Start Date
    1. Choose for coverage to start on the date of the court order March 10 March 20 March 10
    2. Choose for coverage to start with regular effective dates:
    If we get your application on or before the 15th of the month, your coverage starts the first of the next month March 10 March 14 April 1
    If we get your application after the 15th of the month, your coverage starts the first of the next following month March 10 March 17 May 1

     

    You must verify this event to enroll in one of our plans. We will accept these documents as verification:

    • Court documents showing court-ordered dependent coverage

     

  • Permanently moved to a new area with different plans and doctors
    Start Date Options Date of Event Submit Your Application & Documentation Your Start Date
    1. If you submit your application before you move, your coverage starts the first of the month following the date of the move March 10 February 15 April 1
    2. Choose for coverage to start with regular effective dates:
    If we get your application on or before the 15th of the month, your coverage starts the first of the next month March 10 March 14 April 1
    If we get your application after the 15th of the month, your coverage starts the first of the next following month March 10 March 17 May 1

     

    You must verify this event to enroll in one of our plans. Your documents must show all 3 of these:

    1. Date of the move from another state or country
    2. Proof of residence in another state or country with one of these:
      • Driver's license
      • State ID
      • Utility bill
      • Rental, lease or mortgage agreement
      • Mortgage or rental payment receipt
      • USPS change of address receipt (with old and new address and effective date)
      • Homeowner, renter, or automobile insurance policy
      • Government tax documents
      • Car registration
      • Official school documents, including school enrollment, ID cards, report cards, or housing documentation
      • Phone bill showing new address
      • Mail from government agency, like Social Security statement, or a notice from TANF or SNAP agency
      • Bank statement
      • Paystub
      • Letter from current or future employer
      • Voter registration card
      • Moving company contract or receipt showing new address
      • Document from the Department of Corrections, jail, or prison indicating recent release or parole
      • Letter or statement from homeless shelter
      • Letter or statement from a friend, family member, or roommate who resides at the new address stating applicant has moved there
        • They must prove their own residency by including one of these documents as well
    3. Either a record of coverage that meets the minimum requirements of the ACA for one or more days during the 60 calendar days before your permanent move or a record that the applicant has lived outside the US or a US territory at the time of the permanent move

     

  • Gained citizenship, national, or lawfully present status
    Submit Your Application & Documentation Your Start Date
    If we get your application on or before the 15th of the month, your coverage starts the first of the next month March 14 April 1
    If we get your application after the 15th of the month, your coverage starts the first of the next following month March 17 May 1

     

    You must verify this event to enroll in one of our plans. We will accept these documents as verification:

    • Naturalization certificate or certificate of citizenship

     

  • My income or household status changed, which changed how much government help I can get
    Submit Your Application & Documentation Your Start Date
    If we get your application on or before the 15th of the month, your coverage starts the first of the next month March 14 April 1
    If we get your application after the 15th of the month, your coverage starts the first of the next following month March 17 May 1

     

    You must verify this event to enroll in one of our plans. We will accept these documents as verification:

    • Documentation from the Federal Marketplace
    • Letter from the Federal Marketplace on letterhead

     

  • Lost a dependent through divorce, separation, or death
    Start Date Options Date of Event Submit Your Application & Documentation Your Start Date
    1. Choose for coverage to start on the first of the month following the event March 5 March 10 April 1
    2. Choose for coverage to start with regular effective dates:
    If we get your application on or before the 15th of the month, your coverage starts the first of the next month March 10 March 14 April 1
    If we get your application after the 15th of the month, your coverage starts the first of the next following month March 10 March 17 May 1

     

    You must verify this event to enroll in one of our plans. If you get divorced, we will accept these documents as verification:

    • Divorce or annulment papers with the date responsibility for providing coverage ends

    If you get a legal separation, we will accept this document as verification:

    • Court-issued divorce decree including date of divorce, judge's signature, and member's name

    If there's a death, we will accept these documents as verification:

    • Death Certificate
    • Public notice of death
    • Obituary

     

  • Lost coverage not by choice, because of...

    Lost coverage not by choice, because of:

    • Losing a job
    • Not working enough hours to stay on an employer plan
    • The reduction or termination of employer contributions
    • Turning 26 and no longer being covered on parent's plan
    • Plan no longer meeting the requirements of the Affordable Care Act (ACA)
    Date of Event Submit Your Application & Documentation Your Start Date
    Your coverage starts the first of the next month March 10 March 20 April 1

     

    You must verify this event to enroll in one of our plans. If you lose your job, we will accept these documents as verification:

    • Letter from your previous employer on employer letterhead explaining why coverage was terminated
      • If you can't provide the letter, we'll take official documentation from unemployment along with the reason for termination
    • Carrier coverage cancellation notice or certificate of creditable coverage
    • COBRA benefit letter on letterhead

    If you're not working enough hours to stay on an employer plan anymore, we will accept these documents as verification:

    • Letter from your employer confirming loss of contribution
    • Letter from your employer on company letterhead and signed by an officer or owner of the company indicating reduction in hours and loss of coverage along with pay stubs showing reduction in hours

    If your employer reduces or terminates their employer contributions, we will accept these documents as verification:

    • Letter from previous insurer or employer with coverage termination date on company letterhead
    • Discontinuation notice
    • COBRA notice
    • State continuation notice

    If you run out of COBRA Benefits, we will accept these documents as verification:

    • Certificate of creditable coverage
    • COBRA Termination of Coverage Letter from insurer (proof of previous healthcare coverage) from existing or previous insurance company

    If you turn 26 and can no longer be on your parent's plan, we will accept these documents as verification:

    • Termination of Coverage letter from existing or previous insurance company saying dependent is no longer eligible

        OR

    • Proof of previous coverage with termination date and one of the following:
      • Birth certificate
      • Driver’s license
      • State ID
      • Military ID
      • Passport

    For an involuntary loss of coverage, we will accept these documents as verification:

    • Letter from previous insurer or employer with coverage termination date on company letterhead
    • Discontinuation notice
    • COBRA notice
    • State continuation notice

     

  • Got wrong info about my plan or my need for a plan from an officer, employee, or agent of the health insurance marketplace
    Submit Your Application & Documentation Your Start Date
    If we get your application on or before the 15th of the month, your coverage starts the first of the next month March 14 April 1
    If we get your application after the 15th of the month, your coverage starts the first of the next following month March 17 May 1

     

    You must verify this event to enroll in one of our plans. We will accept these documents as verification:

    • Documentation from the Federal Marketplace
    • Letter from the Federal Marketplace on letterhead

     

  • Plan violated its contract with me
    Submit Your Application & Documentation Your Start Date
    If we get your application on or before the 15th of the month, your coverage starts the first of the next month March 14 April 1
    If we get your application after the 15th of the month, your coverage starts the first of the next following month March 17 May 1

     

    You must verify this event to enroll in one of our plans. We will accept this document as verification:

    • Letter from insurer on letterhead

     

Not all events qualify you for an SEP. You won't get one if you:

  • Lose coverage because you didn't pay your premiums
  • Chose to quit your plan
  • Left a plan that didn't meet essential coverage requirements, like a short-term plan

Learn more about SEPs from HealthCare.gov.

How to Enroll

We don't currently have individual plans in your area. If you're interested in Medicare plans, visit our Health Alliance Medicare site or view our employer group plans.