— PROJECT NAME
Digital special enrollment for year round applications
— ROLE
UX Researcher
UX Strategist
UX Designer
Accessibility expert
— DATE
2/10/2026
*This is a current work in progress as of April 8, 2026*
The Commercial Special Enrollment process was built entirely around a paper application. No online form, no qualifying event guidance, no document upload, and no real-time feedback. As the organization moved toward year‑round enrollment, this legacy workflow became a major barrier. I stepped in to modernize the system from the ground up: mapping the complex OE/SEP overlap, clarifying regulatory rules, and designing a digital experience that replaces a static PDF with a dynamic, compliant, member-friendly application flow.
Regulatory ambiguity
The paper application listed only a subset of qualifying events, meaning the online version needs to be more complete, accurate, or point people to the information they need. Effective date rules were unclear and required cross-team collaboration and alignment.
Fragmented user flow
The paper application listed only a subset of qualifying events, meaning the online version needs to be more complete, accurate, or point people to the information they need. Effective date rules were unclear and required cross-team collaboration and alignment.
Missing digital touchpoints
No pre-shopping qualifying event selection, no document upload capabilities, and no clear ‘what happens next’ messaging.
I felt like it was important to start by mapping out the standard open enrollment flow. And then from there, being able to add the special enrollment flow. This allowed for a complete overhead look at what the process looks like.
Being able to look at the special enrollment requirements, I was able to pinpoint the decision points, and regulatory triggers that we would have to add to our digital flow.
The standard open enrollment flow for new users, current members, and agents.
The open enrollment flow, in addition to the special enrollment flow with additional requirements, and steps, with the user selecting their qualifying event before seeing the plans.
The final version of our flow shows the list of qualifying events after the user selects a plan, instead of before. This flowed seamlessly into the user filling out their enrollment application.
- Expanded the list based on regulatory guidance and membership accounting insights
- Designed a clearer, more inclusive selection interface
- Added documentation expectations upfront to reduce drop-off and call volume
- I facilitated cross-team conversations to define what flexibility users should have
- I designed a pattern that shows the calculated effective date and explains why
- I ensured the logic was accessible and transparent
Below are the two options that were designed to get users from the entry page to their results. One options requires more work from the user, by adding four additional pages to the entry flow, as well as the overall application. The other requires more work from our engineers as it strays from our traditional entry form, and would require a shift in how we have designed for shopping in the past.
The user must enter all information in regards to their special enrollment qualifications in order to see the plans and prices available in their area. This would come after the initial entry page where they give their name, zip code, type of coverage, and birthdate information. This would require four additional pages for the application flow, with two of those pages being informational only.
We instead add the users qualifying event information in the entry experience. This would take additional pages out of the flow, would allow the backend to calculate their effective date and assign it to them without additional steps, and gets the user to the results faster, with less clicks.
60% increase in special enrollment applications
email@domain.com
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