SEP for Health Plan or Employer Misrepresentation

Individuals who do not enroll in Part B or premium Part A when first eligible due to misrepresentation or reliance on incorrect information provided by their employer or group health plan (GHP), agents or brokers of health plans, or any person authorized to act on behalf of such entity may enroll using this SEP.

An eligible person must demonstrate (by documentation or written attestation) both of the following:

They did not enroll in part B or premium Part A during an enrollment period in which they were eligible based on information received from an employer or GHP, agents or brokers of health plans, or any person authorized to act on such organization’s behalf.

An employer, GHP, agent or broker of a health plan, or their representative materially misrepresented information or provided incorrect information relating to enrollment in part B or premium Part A.

This SEP begins the day an individual notifies the Social Security Administration and ends six months later.

Medicare benefits will be effective the first day of the month following enrollment.