Unity Pharmacy
Special Enrollment Period Verification

Members experiencing a qualifying life event and enrolling in an individual policy outside Open Enrollment through a Special Enrollment Period (SEP) may be required to provide additional documentation with their application.

Unity’s sales team will be reaching out to applicants or their agent to request additional documentation if necessary. Although applications will not be processed until all the necessary documentation is received, Unity will honor the effective date provided at the time the application was completed.

Our Get-a-Quote ​tool and online application process will be updated to provide clarification on what documents may be required for each SEP reason so members can begin gathering those documents as early as they begin window shopping. 

In tandem with the Interim Final Rule recently released by CMS, please be aware that in order for an individual to qualify for the Permanent Move SEP the member must have had minimum essential coverage for at least one of the 60 days prior to the date of their move to a new service area.  If the member is not able to prove prior coverage for at least one day within the 60 days prior to their move they will not qualify for an SEP under Permanent Move.  This additional requirement went into effect on July 11, 2016.

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Agent Outreach & Support

With Unity, your clients receive guaranteed access to UW Health, health and wellness programs, easy tools and helpful resources, and service excellence. Building upon the service and support we provide our agent community, a member of our sales team will be calling you during the year to provide you with updates and answer questions you may have.