If an individual who missed a prior enrollment period due to an exceptional condition
enrolls in an SEP during the month of January, February, or March, they can elect
to have the enrollment processed as either a General Enrollment Period (GEP) or as
an SEP enrollment .
If the individual chooses a GEP enrollment even if they are eligible for an SEP, coverage
begins the first day of the month after the month of enrollment. Calculate the premium
surcharge through the end of the enrollment month using HI 01001.010.
If the individual chooses an SEP enrollment, coverage options may vary based on the
specific effective date of each exceptional condition SEP. The coverage effective
date of each SEP can be found at the link to the specific SEP above.
If an individual is eligible for any exceptional condition SEP and chooses to enroll
using the SEP, no Premium Part A and/or Part B premium surcharge is applicable.