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1.10. Pre-existing condition

As previously announced, benefits coverage for current enrollees in the federally-run and state-based Pre-Existing Condition Insurance Plan (PCIP) will end on April 30, 2014. PCIP benefits will not be extended to May. This temporary program, created by the Affordable Care Act, was originally scheduled to end on December 31, 2013. We have been able to extend benefits coverage to enrollees for an additional four months in 2014, to help ensure they did not experience a break in health coverage as they transitioned to other coverage through the Health Insurance Marketplace. Enrollees who do not have other coverage that begins May 1, 2014, will be eligible for a 60-day special enrollment period that will begin on May 1, 2014, to enroll in new coverage through the Marketplace. You will receive a letter by mail shortly that explains the next steps. For now, you should know that no matter when you enroll in other coverage through the Marketplace during the 60-day special enrollment period, your new coverage will still be effective back to May 1. This way, you avoid a break in your health coverage.

Currently, those with were previously not covered due to a pre-existing condition, who are now also covered by a health plan, are automatically covered.


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