Ohio Open Enrollment

Open enrollment will begin on January 1, 2010.

Ohio law requires us to accept a certain number of individuals for open enrollment coverage without regard to health status. If you qualify as a Federally Eligible Individual (FEI), your coverage will be effective immediately without any pre-existing condition exclusions period. If you do not qualify as a FEI, you may apply for non-FEI open enrollment coverage.

You are a Federally Eligible Individual if you meet all of the following conditions:

• You had health coverage for at least 18 months without a break in coverage greater than 63 days.
• Your most recent health coverage was under a group health plan, governmental plan or church plan.
• You are not eligible for coverage under any of the following plans:
  • A group health plan
  • Medicare
  • Medicaid
• You do not have any health coverage.
• Your most recent health coverage was not terminated because of nonpayment of premiums or fraud.
• If you had been offered the option to cintinue under COBRA or a state continuation plan, you both elected and exhausted the continuation coverage. 

You are a Non-Federally Eligible Individual if you meet the following conditions:

• You are not applying for coverage as an employee of an employer, member of an association or member of any other group.
• You do not have any other health coverage and are not eligible to be covered under any private or public health benefit plans including the following:
  • Medicare or Medicare supplement policy
  • Medicaid
  • Any COBRA or state continuation coverage plan
  • Other health benefits arrangment

If we have not yet met our enrollment quota, we will offer you the Ohio health care Basic and Standard benefit plans for purchase. We are not required to accept applicants who at the time of enrollment, are confined to a health care facility due to chronic illness or permanent injury. As a Non-Federally Eligible Individual coverage may be limited for pre-existing conditions for the first 12 months, however, we will credit time you were covered under a recent previous health plan.

You must live in one of the following counties to be eligible for the Federally Eligible Plan or the Non-Federally Eligible Plan.

• View Quota Information 
• Outline of Plans  

  Basic Open Enrollment Option (no RX coverage) (213k)
  Standard Open Enrollment Option (with RX coverage) (1MB)

• FEI and Non-FEI Rates

  View current rates.

• For Federally Eligible Individuals (Enrollment Form) (31k)

  Please use a pen, print clearly and press hard. Use the "Find a Doctor" on our website to identify primary care physicians (and secondary care physicians and/or OB-GYN if applicable.)

• For Non-Federally Eligible Individuals (Enrollment Form) (34k)

  Please use a pen, print clearly and press hard. Use the "Find a Doctor" on our website to identify primary care physicians (and secondary care physicians and/or OB-GYN if applicable.)

• Got Questions?

  View questions and answers that you may have before selecting your health care plan.