The 2025 Marketplace Integrity & Affordability Final Rule made changes to Open Enrollment Period (OEP) requirements for 2027.
The OEP for 2027 for all Marketplaces including Pennie must begin no later than November 1 and end no later than December 31, cannot exceed nine weeks, and all coverage must begin January 1 of the plan year.
During last week’s Board meeting, Pennie voted to change the OEP this year to run from October 15 to December 15. Stakeholders cited concerns of overlap with Medicare Open Enrollment which begins on October 15 as well. Insurers will be required to adjust plan rate filings deadlines based on the reduced timeline issued by the Pennsylvania Insurance Department.
Other changes affecting enrollment include removal of tax credit eligibility for lawfully present non-citizens and a new pre-renewal verification process for existing enrollees requiring individuals to affirm their information to keep Advanced Premium Tax Credits.