Monthly Archives: December 2016

Penalty for Going Uninsured: Talking Points

In your outreach, education and enrollment efforts this week let consumers know that if they can afford health insurance but choose not to buy it, they must pay a fee called the individual shared responsibility payment. (The fee is sometimes called the "penalty," "fine," or "individual mandate.") Talking Points ‘If you go without coverage, you’ll owe the fee for any month you, your spouse, or your tax dependents don’t have qualifying health

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Avoid Application DMIs: Tips and Resources

The following FAQs provide general information on how to prevent all DMI types: Q1: What can an assister do to reduce cases that trigger DMIs? A1: As assisters, you can help to review a consumer’s Marketplace application to verify that he or she: Completes all possible fields in the application; Corroborates that the consumer’s name exactly matches documents such as his or her social security card; Provides information on the application that

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UPDATE: IRS Sends Notices to Consumers Who Paid the Penalty or Claimed an Exemption in 2015

As previously announced, the Internal Revenue Service (IRS) will conduct new outreach efforts to some uninsured people who paid the penalty or claimed an exemption in 2015, letting them know that tax credits are available for Marketplace coverage and providing information about their health coverage options. The letters will incorporate targeted messages that reflect their recent experience with the penalty and potential eligibility for financial

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Upcoming Marketplace Notices for Consumers

The Marketplace is sending letters to consumers who are currently enrolled with an issuer that is no longer offering a product in their area for 2017 and who will be mapped to an alternate issuer if they do not return to the Marketplace and make an active plan selection on or before December 15th. Samples of these letters have been posted online, in English and Spanish. These letters will: Remind consumers that their plans will be discontinued; Encourage

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Central Nebraska Child Obesity Conference on Wed., Dec. 7 from 8:30am-1pm in Hastings

child-obesity-conference-brochure

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Health Centers with Capital Project Plans Should Act Now

The U.S. Department of the Treasury’s Community Development Financial Institutions Fund announced the awardees for the combined 2015-2016 round of New Markets Tax Credit (NMTC) allocations. The awards, which were increased to an historic high of over $7 billion, are aimed at revitalizing low-income communities and increasing economic opportunity nationwide. The 120 Community Development Entities (CDEs) that received these awards are actively seeking

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FTC Releases New Guide for Responding to a Data Breach

The Federal Trade Commission (FTC) in September 2016 released new guidance that provides businesses with a step-by-step process for addressing and responding to data breaches, such as how to secure areas of operation, how to fix communication or technical vulnerabilities, and whom to contact in the event of a breach. The guide suggests consulting legal counsel and assembling a forensics team to identify the source and contain the breach, then contacting

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Save The Date! CMS Assister Summit

Hosted by the Center for Consumer Information and Insurance Oversight (CCIIO) Join your fellow assisters for a two-day interactive event that incorporates opportunities for building effective partnerships, professional development and hands-on training. Attendees will learn and share latest strategies and best practices to enhance the consumer experience through effective outreach, education, enrollment and retention. Who: Navigator Grantees, Certified

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The Assister’s Roadmap to Resources

The second updated resource is The Assister’s Roadmap to Resources. As you all are very aware, CMS and other federal agencies and non-federal organizations have produced a number of resources to help you in your role as assisters. The Assister’s Roadmap to Resources should serve as your directory for the most essential of these resources, with clickable links to each resource. This tool provides an overview of important Marketplace and other

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The Standard Operating Procedures Manual for Assisters in the Individual Federally-facilitated Marketplaces

This Manual is a step-by-step instructional guide for assisters to use when assisting consumers with HealthCare.gov eligibility, enrollment and post enrollment application processes. It contains standard operating procedures (SOPs) that include screenshots; it details the processes for required and authorized assister activities within the Individual FFM.  It covers topics like privacy and security guidelines, creating an account, identity verification,

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