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How to request an open enrollment waiver
Contacts
Office of Patient Protection
Phone
Don’t speak English? We can still help. An interpreter will help translate the conversation.
The Details of How to request an open enrollment waiver
What you need for How to request an open enrollment waiver
What do I need to do before I can apply for an enrollment waiver?
First, you must apply for health insurance with a health insurance company, insurance broker, or the Health Connector. If you are denied enrollment, you will receive a written notice either online or by mail. Once you receive the notice denying enrollment in health insurance, you may request an open enrollment waiver.
How to apply How to request an open enrollment waiver
Complete all pages of the OPP waiver request form through our secure online form. You will be asked to upload a notice denying enrollment in health insurance.
Please note: At this time OPP may accept mail only through United States Postal Service with no signature of receipt required. Correspondence mailed that requires a signature or uses other delivery services will be returned to sender.
Mail your completed waiver form to:
Health Policy Commission
Office of Patient Protection
50 Milk Street, 8th Floor
Boston, MA 02109
Fax your completed waiver form to 617-624-5046.
Next steps for How to request an open enrollment waiver
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How do I request a waiver?
Step 1: Complete the OPP waiver form (you may download the form below);
Step 2: Attach a copy of your notice denying enrollment;
Step 3: Send the waiver form and notice denying enrollment to OPP by mail or by fax.
Open DOCX file, 197.6 KB, 2024 Open Enrollment Waiver Form - English Version (English, DOCX 197.6 KB)Open PDF file, 314.01 KB, 2024 Open Enrollment Waiver Form - English Version (English, PDF 314.01 KB)Open DOCX file, 201.55 KB, 2024 Open Enrollment Waiver Form - Spanish Version (English, DOCX 201.55 KB)Open PDF file, 329.36 KB, 2024 Open Enrollment Waiver Form - Spanish Version (English, PDF 329.36 KB)Once I fill out the enrollment waiver form, how long will it take to get an answer?
OPP will respond to you within 30 days of receiving your waiver form. If OPP asks you for any additional information, please send it back as quickly as possible.
What happens if OPP denies my request for an open enrollment waiver?
You must wait until the next open enrollment period.
More info for How to request an open enrollment waiver
What does OPP consider when reviewing open enrollment waiver forms?
OPP looks at the reasons you were unable to buy health insurance when enrollment was open.
You may be ineligible for an open enrollment waiver if:
- Your health insurance was terminated because you did not pay premiums
- You intentionally missed the open enrollment period
If you do not qualify for an open enrollment waiver, you will need to wait to buy insurance until the next open enrollment period.
Downloads for How to request an open enrollment waiver
Open DOCX file, 197.6 KB, 2024 Open Enrollment Waiver Form - English Version (English, DOCX 197.6 KB)Open PDF file, 314.01 KB, 2024 Open Enrollment Waiver Form - English Version (English, PDF 314.01 KB)Open DOCX file, 201.55 KB, 2024 Open Enrollment Waiver Form - Spanish Version (English, DOCX 201.55 KB)Open PDF file, 329.36 KB, 2024 Open Enrollment Waiver Form - Spanish Version (English, PDF 329.36 KB)Contact for How to request an open enrollment waiver
Address
Massachusetts Health Policy Commission - Office of Patient Protection50 Milk Street, 8th Floor, Boston, MA 02109Phone
Don’t speak English? We can still help. An interpreter will help translate the conversation.
People who are deaf, hard of hearing, late deafened, or speech disabled may reach OPP with MassRelay. Call Office of Patient Protection , People who are deaf, hard of hearing, late deafened, or speech disabled may reach OPP with MassRelay. at TTY and ASCII Users: 800-720-3480; Voice and Hearing Users: 800-720-3479Fax
1-617-624-5046Related