Situation
The shopper lives in an area in which a federal, state, or local government entity has declared a disaster. FEMA declared disaster. If the shopper volunteers information that they were impacted by a disaster which inhibited their ability to utilize a valid enrollment period which has since expired, they should qualify for the SEP. State and local disasters may be difficult to verify. Take the shopper at their word for state/local disasters they claim impacted them. CMS will determine if it is valid when processing the application. Federal disasters may be verified on the FEMA website.
Important Note: Speak with your supervisor for guidance on how/ when to use the Disaster SEP for COVID.
Process for Verification of Federally Declared Disaster
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