Question: I hear whispers that an individual who is insured now may not have to enroll in a plan with Essential Health Benefits during the open enrollment period - but instead can wait until the expiration date of their current plan. Can you clarify this?
Answer: That’s accurate in some cases. If you are covered by a plan that does not have grandfathered status, you may stay on the plan until the annual renewal date. You would then qualify for a special enrollment in a qualified health plan. If you are covered by a grandfathered plan, you may stay on that plan as long as it maintains its grandfathered status. Grandfathered plans have the ability to avoid several mandates and essential health benefits thus avoiding the increases in healthcare costs associated with those mandates.