Every year, Open Enrollment brings the same common questions. Here are straightforward answers to the most frequently asked questions about 2027 marketplace health insurance.
When is Open Enrollment 2027?
November 1, 2026 through January 15, 2027. Enroll by December 15, 2026 for January 1, 2027 coverage. Enroll after December 15 through January 15, 2027 for February 1, 2027 coverage. NJ residents have until January 31 due to the state marketplace extension.
What if I already have coverage? Do I need to do anything?
If you do nothing, your existing plan often auto-renews — but this isn’t always optimal. Insurers change plans, premiums, networks, and formularies every year. Always review your options during Open Enrollment even if you plan to stay on your current plan. Your premium tax credit eligibility may also have changed based on your income or plan changes in your area.
Can I be denied coverage for a health condition?
No. ACA marketplace plans cannot deny you coverage, charge you more, or limit your benefits based on any pre-existing condition.
How do I know if I qualify for a subsidy?
Submit an application through the marketplace — the system calculates your subsidy eligibility automatically based on your estimated 2027 household income. Alternatively, a licensed broker can run an estimate for you before you formally apply.
I’m self-employed — can I get marketplace insurance?
Yes. Self-employed individuals, freelancers, and gig workers are among the primary users of marketplace coverage. Your subsidy eligibility is based on your estimated net self-employment income after business deductions. You can also deduct 100% of your premiums from gross income on your federal tax return.
What’s the difference between a premium tax credit and cost-sharing reductions?
A premium tax credit reduces your monthly premium. Cost-sharing reductions (CSRs) reduce your out-of-pocket costs (deductible, copays) — but only on Silver plans, and only if your income qualifies. You can receive both, and many people do.
Can I add my family to a marketplace plan?
Yes. You enroll all household members in one application. Your premium tax credit is calculated for your full household size and income. Family deductibles and out-of-pocket maximums apply to the combined household.
What if I miss Open Enrollment?
You’ll need to wait until next year’s Open Enrollment unless you experience a qualifying life event (job loss, marriage, birth, move, etc.) that triggers a Special Enrollment Period.
Does working with a broker cost anything?
No. Independent brokers are compensated by the insurance carriers, not the consumer. Using a broker does not change your premium. It simply means you have an expert who shops every available plan and guides you to the one that fits your situation.
How do I find a broker?
You’re already in the right place. Contact Paul at Garden State Benefits for a no-cost, no-obligation review of your 2027 options — he’s a licensed independent broker serving individuals and families across 26 states.