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Exceptional Circumstances Special Enrollment Period

Type your first name here.
Type your last name here.
Select your date of birth.
Address:
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Tell us why you are asking for an Exceptional Circumstance Special Enrollment Period.
Select the date your exceptional circumstance started.
For example: if you became medically incapacitated on 2/15/2020, that is the start date. If you were released from the hospital on 3/1/2020, that is the end date.
Do you need medical care right now? For example, doctor's appointments or prescriptions?
Tell us why you need access to care right now.
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