FEMA SEP Information Contact a support specialist for any additional information and/or assistance.

Effective January 1st, 2025

Guidance Effective January 1, 2025, per Regulatory Regulations:

Medicare Managed Care Manual, Medicare Advantage and Part D Enrollment and Disenrollment Guidance Updated: 2024, per Code of Federal Regulations 42 CFR §§ 422.62(b)(18) and 423.38(c)(23):

30.6.25 – SEP for individuals affected by a government-entity declared disaster or other emergency 42 CFR §§ 422.62(b)(18) and 423.38(c)(23)

An individual affected by an emergency or major disaster declared by a federal, state, or local government is eligible to enroll in or disenroll from an MA plan or a Part D plan.

An individual is eligible for this SEP if they:

• Reside, or resided at the start of the SEP eligibility period described below, in an area for which a federal, state, or local government entity has declared an emergency or major disaster, or they do not reside in an affected area but rely on help making healthcare decisions from one or more individuals who reside in an affected area.
• They were eligible for another election period at the time of SEP eligibility period; and
• Did not make an election during that other valid election period due to the disaster or other emergency.

The SEP starts as of the date the declaration is made, the incident start date or, if different, the start date identified in the declaration, whichever is earlier. The SEP ends two full calendar months following:

• the end date identified in the declaration or, if different,
• the date the end of the incident is announced, or, if no date is identified or announced,
• the date the incident automatically ends under applicable state or local law, or
• one year after the SEP start date, or renewal or extension.

The maximum length of this SEP, if the incident end date is not otherwise identified, is 14 full calendar months after the SEP start date, or, if applicable, the date of a renewal or extension of the emergency or disaster declaration.

Attached is an updated report of SEP’s for Government Entity – Declared Disaster or Other Emergency report.