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13 qualifying life events that trigger ACA special enrollment
Outside of open enrollment, a special enrollment period allows you to enroll in an ACA-compliant plan (on or off-exchange) if you experience a qualifying life event.

Latest News & Topics

Latest News & Topics


Finalized federal rule reduces total duration of short-term health plans to 4 months
A finalized federal rule will impose new nationwide duration limits on short-term limited duration insurance (STLDI) plans. The rule – which applies to plans sold or issued on or after September 1, 2024 – will limit STLDI plans to three-month terms, and to total duration – including renewals – of no more than four months.
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Consumer Operated and Oriented Plan (CO-OP)

What is a CO-OP?

Created by the Affordable Care Act, the CO-OP (Consumer Operated and Oriented Plan) program was designed to help create nonprofit, member-controlled health insurance plans that would offer ACA-compliant policies in the individual and small business markets.

How many states still have ACA CO-OPs?

Twenty-four states had CO-OP plans available in their exchanges starting in October 2013. But nearly all of them have since closed. As of 2024, there are just three CO-OPs still operational in five states:

  • Community Health Options in Maine
  • Mountain Health CO-OP (Montana Health CO-OP) in Montana, Idaho, and Wyoming 
  • Common Ground Healthcare Cooperative in Wisconsin

CO-OPs were initially supposed to get $10 billion in grant money, but that ended up being changed to $6 billion in loans, with fairly short repayment timelines. CO-OPs also fell victim to the risk corridors fiasco in far greater numbers than long-established health insurance companies. And the ACA’s risk adjustment program was also challenging for CO-OPs.

Read more about CO-OP health insurance plans.

Related articles

As of 2021, only three of the original 23 CO-OPs are still operational, after New Mexico's CO-OP closed at the end of 2020.
The Affordable Care Act included an enrollment platform called SHOP (Small Business Health Options Program), an exchange where businesses could compare plans and enroll in coverage for their employees.