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Broward Regional Health Planning Council
Insurance Benefit Management Services
*Open Enrollment for Marketplace coverage is closed but you can enroll or change plans if you have certain life events or income change:
  1. Low-Income Special Enrollment Period for people with an income between 100-150% of the Federal Poverty Level (FPL).
  2. Involuntary Loss of Employer (Cobra) or Public (Medicare/Medicaid) Insurance Coverage.
  3. Gained Eligible Immigration Status.
  4. Released from incarceration.
  5. Change in household size because of marriage, divorce, adoption, dependent removed, legal separation, etc.
  6. Change in Residence/Moved to a New Zip Code. (Must have had active insurance for at least 1 day in the 60 days prior to the move)
  7. Recently denied Medicaid or CHIP Coverage
»Click here to find out if you can enroll/change plans.

I have NOT enrolled in a Federally Facilitated Marketplace Plan for 2023:

**Do not complete this form if you have already completed an enrollment in a Federally Facilitated Marketplace Health Insurance Plan for 2023 through the Federally Facilitated Marketplace or through an Agent/Broker. Only complete this form if you need assistance with Federally Facilitated Marketplace enrollment from BRHPC/American Exchange. American Exchange is a CMS Certified Federally Facilitated Marketplace Agent/Broker in the State of Florida and will act as your Agent of Record upon completing this form.**

Click Here » If you need assistance completing
this form call 1-844-441-4422

I have Already enrolled in an Insurance Plan for 2023:

**Please only complete this form if you have already successfully enrolled in a Federally Facilitated Marketplace Plan for 2022, have insurance through your Employer or have a COBRA plan.**
**Please only complete this form if you have already successfully enrolled in a Federally Facilitated Marketplace Plan for 2023, have insurance through your Employer or have a COBRA plan.**

Follow the appropriate link below:

ACA Marketplace (HealthCare.gov) ACA Marketplace (Marketplace) Click Here»
Employer-Sponsored (From my job) Click Here»
COBRA (Plan I got when I left my job) Click Here»

Program Enrollment Assistance:
1-844-441-4422
Eligibility Assistance: 1-844-381-2327
To upload your required tax forms for 2022:Click Here »
*Insurance Enrollment Assistance is provided by our partner American Exchange
** If you live in Miami-Dade County there is a different enrollment process **
For the required enrollment process contact your case manager.
» Tutorial: How to complete the questionnaire:Click Here »
» Eligible ACA Health Insurance Plans for 2020: » Eligible ACA Health Insurance Plans for 2023:Click Here »
» How to Read an Insurance ID Card and Information on Doctors, Pharmacies & Hospitals: Click Here »
» Examples of "Explanation of Benefits (EOB)" & "Health Insurance Bill": Click Here »
» Information regarding Medicare and Enrollment: Click Here »
» Insurance Enrollment Outreach, Education and Technical Assistance Educational Materials: Click Here »
» Assistance with understanding the “Explanation of Benefits”:Click Here »
» Assistance with understanding the “Explanation of Benefits”:Click Here »
» Glossary of Terms:Click Here »
» Premium Assistance Internal Client Complaint Procedure Grievance Process:
Complete the required sections on the form and mail or fax
to the responsible party as noted on Page 6 of the document.
Click Here to download form