The flow of thought in the list moves from personal to church life, from domestic to official functions. Implicit in this movement is an important axiom: what one does or is in one's private life has consequences for the church.
You can use your health insurance in another state, it just depends on whether it will be considered in or out of network. If it is an emergency, most companies will treat it as an I network claim.
If you qualify for a special enrollment period outside of open enrollment, the effective dates generally work the same way. After open enrollment ends, you can still buy health insurance if you have a qualifying event, a change of life circumstances such as a divorce or a move to another state.