Remodel Health ICHRA Insights

A Guide to Open Enrollment for Individual Health Insurance

Written by Holly Bengfort | Oct 1, 2026, 6:15:00 PM

The Open Enrollment period is your once-a-year opportunity to choose or change your individual health insurance plan. This occurs near the end of the calendar year, although exact dates vary by state. Whether you’re buying insurance for the first time or reviewing your current plan, knowing what to expect can help you make a confident coverage decision.

In this article, we'll cover key Open Enrollment deadlines and what to consider when choosing a health plan.

In this blog post, you’ll learn:

  • When you can sign up for individual health coverage.
  • What to consider when comparing your insurance options.
  • Which qualifying life events may trigger a special enrollment period (SEP).

2027 Open Enrollment at a glance

Before we get into the details, here are the key dates you need to know.

Open Enrollment deadlines1:

  • November 1, 2026: Open Enrollment begins in most states. Three states start Open Enrollment earlier: Idaho on October 15, 2026, and Connecticut and Massachusetts on October 23, 2026.
  • December 15, 2026: Current federal Marketplace deadline to enroll in or change plans for a January 1, 2027, coverage start date.
  • January 1, 2027: Coverage begins for those who enroll in or change plans by December 15 and pay their first premium.
  • January 15, 2027: Last day to enroll in or change Marketplace health plans for the year in most states. States such as Idaho (December 15) and Vermont (December 28) end Open Enrollment early.
  • February 1, 2027: Coverage starts for those who enroll in or change plans December 16 through January 15 and pay their first premium.

What’s new for Open Enrollment for 2027 coverage?

This year brings significant changes that could impact your coverage, costs, and deadlines. Before we walk through the steps to enroll, it’s important to understand these updates so you can make informed choices and avoid surprises.

Change What it means for you
Steeper premium increases than average Health insurance companies participating in the health insurance marketplaces are proposing a median premium increase of 15% for 2027. These are proposed rates and may change before plans are finalized2.
Changes to health insurance premium subsidies Enhanced premium tax credits (PTCs) expired at the end of 2025. If you previously received enhanced PTCs, you may see higher premium costs and should review your eligibility for financial assistance when enrolling. If you participate in a CHOICE Arrangement (formerly ICHRA), you aren’t eligible for subsidies.
Open Enrollment dates may change

Open Enrollment for the 2027 coverage year starts on November 1, 2026. December 15, 2026, is the last day to enroll in or change plans for a January 1, 2027, coverage start date.

Federal rules have been issued and challenged that would shorten the annual enrollment period beginning with the 2027 coverage year3. For now, the federal Marketplace is operating under the traditional Open Enrollment schedule, but enrollment deadlines could change. Consumers should check their state’s official insurance marketplace for the most up-to-date deadlines before enrolling.


Some states, like California and New York, also have extended Open Enrollment periods. Make sure to check the annual enrollment period for your area.

Step-by-step guide to Open Enrollment

Let’s break the process into seven clear, actionable steps to guide you through Open Enrollment.

1. Gather your key information

The first step is the easiest. Before you start comparing health plans, have the basics on hand to make the enrollment process smoother.

Have the following information ready:

  • Personal details: Name, ZIP code, and Social Security numbers for everyone in your household.
  • Income details: W-2s, pay stubs, or tax info to determine eligibility for subsidies. If your employer offers an affordable CHOICE Arrangement (formerly ICHRA), you’re not eligible for premium tax credits.
  • Current health plan info: If you already have coverage, be sure to review your current plan details.
  • Medical records: Be prepared to list any current prescription drugs, pre-existing conditions, and preferred providers to narrow your plan search.

2. Assess your healthcare needs

Think about what the next year might look like for you and your family. This will guide you toward a plan that matches your real usage, not just the cheapest option on paper.

Ask yourself the following questions:

  • Do you usually only need preventive care?
  • Do you manage a chronic condition?
  • How often do you visit the doctor or need prescription drugs?

3. Check your providers

If you have a preferred doctor or rely on a specialist, make sure they’re in-network. Seeing out-of-network providers usually means higher bills. Choosing a plan that keeps your providers accessible saves you stress and unexpected costs.

Review:

  • Your typical number of doctor visits.
  • Any ongoing medical needs.
  • Prescriptions you depend on.

4. Learn key insurance terms

Health insurance coverage comes with its own vocabulary. Learning the lingo is essential to making well-informed choices about your health plan.

Some common health insurance terms include:

  • Deductible: What you pay out of pocket for medical care before insurance kicks in.
  • Coinsurance: The percentage of medical costs you share with your insurer after hitting your deductible.
  • Copayment (copay): A set fee for certain services.
  • HMO: Requires referrals and an in-network primary care doctor.
  • PPO: Flexible, but lower costs in-network. These plans tend to have higher premiums than HMOs.
  • POS: A mix of HMO and PPO rules.
  • EPO: Coverage only in-network (except emergencies).

5. Compare plans beyond the health insurance premium

When evaluating your health insurance options, consider more than the monthly premium. Look at deductibles, provider networks, copays, and coinsurance

Also, familiarize yourself with the metal tiers on the marketplace:

  • Bronze: Lowest monthly premiums, but the highest out-of-pocket costs
  • Silver: Moderate monthly premiums and cost-sharing
  • Gold: Higher monthly premiums, but lower out-of-pocket costs
  • Platinum: Highest monthly premiums, but lowest out-of-pocket costs

All marketplace plans cover essential health benefits. But if your employer offers a CHOICE Arrangement, formerly known as the individual coverage health reimbursement arrangement (ICHRA), make sure your plan meets minimum essential coverage (MEC) standards. Marketplace plans always do, but some plans on private exchanges may not.

6. Know about special enrollment periods (SEPs)

Missed the initial enrollment period? You might still have options available.

You may be eligible for a special enrollment period (SEP) if you experience one of these qualifying life events:

  • Loss of health coverage
  • Change in household, such as getting married, having a baby, or adopting a child
  • Change in residence
  • Access to a new health benefit

Other unique circumstances may also allow you to sign up for a health insurance policy outside the annual enrollment period.

You may also qualify for an SEP if:

  • You become a tribal member of a federally recognized tribe
  • You become a shareholder in an Alaska Native Claims Settlement Act (ANCSA) Corporation
  • You begin or complete your service with AmeriCorps State, AmeriCorps National, VISTA, or NCCC

7. After the Open Enrollment period

Once you’ve enrolled, your work isn’t quite done. Review your health insurance plan each year during Open Enrollment to make sure it still meets your needs and budget. Keep copies of your enrollment forms and communications with your insurance provider. And if your employer offers a CHOICE Arrangement (formerly ICHRA), remember you may need to provide proof of coverage.

How Remodel Health can help you through Open Enrollment

Choosing an individual health plan can feel overwhelming, especially if you’re new to the individual market or have a CHOICE Arrangement (formerly ICHRA) for the first time. If your employer offers a CHOICE Arrangement through Remodel Health, we can help you understand your options, compare coverage, and choose a plan that works for you.

With Remodel Health as your benefits administrator, we provide:

  • Education and resources. Access enrollment resources, including virtual or in-person education sessions, CHOICE Arrangement guides, and personalized support from Launch Coordinators to help you understand your benefits and coverage options.
  • Personalized guidance and enrollment assistance. Compare individual health plans using Remodel Health’s decision-support tools and recommended plan features. If you have complex coverage needs, you can also connect one-on-one with a licensed Benefits Advisor.
  • Ongoing support. Get year-round help with questions about your health plan or CHOICE Arrangement. Our team can assist with benefits questions, provider and prescription issues, medical authorizations, and complex claims, even after Open Enrollment ends.

Conclusion

Open Enrollment is the annual period during which you can enroll in or change your health insurance coverage. By gathering your documentation early, assessing your healthcare needs, confirming your providers, understanding insurance terms, and carefully comparing plans, you can make informed choices that protect your health and help you manage healthcare costs.

This blog post was originally published on October 24, 2024. It was last updated on October 1, 2026.

References

1. A quick guide to the Health Insurance Marketplace

2. Peterson-KFF Health System Tracker: How much and why ACA Marketplace premiums are going up in 2027

3. LitigationTracker: City of Columbus 2026.06.12 opinion