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My children and I are tribal members, but my spouse is not. Can we enroll as a family with a Special Enrollment Period?

If one family member on the application is eligible for the Special Enrollment Period (SEP), all family members who apply on the same Marketplace application are eligible. This is true even if different …

If one family member on the application is eligible for the Special Enrollment Period (SEP), all family members who apply on the same Marketplace application are eligible. This is true even if different family members are eligible for different Marketplace plans, based on differing eligibility for lower monthly premiums or out-of-pocket costs.

Please note : If a federally recognized tribal member and non-tribal members enroll in the same Marketplace plan, the tribal family member will not be able to use cost-sharing savings.

Federally recognized tribal members and non-tribal family members with an income under 300 percent of the Federal Poverty Level should consider enrolling in separate plans if they want to take advantage of all potential savings.

Posted in: Individuals