Author Archive of Hcan

CLARIFICATION: Assisting Consumers with the Tax Penalty SEP

Consumers are not eligible for the Tax Penalty SEP if they had an exemption for all of 2014 and did not owe the fee for a month or more in 2014. However, as long as a consumer owed the fee for one or more months in 2014, they can still qualify for the Tax Penalty even if they had MEC or an exemption for part of the year, if they meet the other requirements of the SEP. For example, if a consumer had an exemption for a few months, owed the fee for

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Medicaid Enrollment Update: 11.2 million additional individuals as of January 2015

KEY TAKEAWAY: Medicaid enrollment continues to increase; assisters can use the new fact sheet to highlight how the Affordable Care Act is helping more consumers enroll in coverage through Medicaid. Remember: If they are eligible, consumers can enroll in Medicaid at any point during the year. On Friday, March 20, 2015, the Center for Medicaid and CHIP Services (CMCS) released data showing that Medicaid enrollment increased by approximately 11.2 million

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Affordable Care Act Turns 5!

KEY TAKEAWAY: In the 5 years since its passage, the ACA has made a difference in many Americans’ lives. Assisters and other partners are encouraged to share this information to show how the ACA is working. Monday, March 23 marked the five-year anniversary of the signing of the Affordable Care Act. To date, 16.4 million uninsured people have gained health care coverage since the ACA’s passage. As President Obama said in a statement on the law’s

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System Fix Affecting Immigrants Below 100% FPL

KEY MESSAGE: We have resolved a system issue in which not all applicants who were eligible based on an income under 100% of the Federal Poverty Level and ineligibility for Medicaid due to immigration status received APTC.  Consumers affected by this issue can now change their applications to receive an updated APTC determination. The Marketplace includes a question to help consumers who have been denied Medicaid and the Children’s Health Insurance

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KEY MESSAGE: Assisters should encourage applicants to fill out as many of the fields in the application as possible, such as their Social Security number or immigration documentation if they have it, to expedite the application process. New pop-ups on the application are aimed at reinforcing this message. The application now features two new pop-ups to encourage applicants to input a social security number (SSN), if available, and

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CMS Request for Assister Feedback on Outreach & Enrollment Activities

CMS is exploring ways to better collect information on Marketplace outreach activities and is hoping to learn from work currently being done by local CACs and Navigators to track their own outreach. If your organization is involved in outreach on the Health Insurance Marketplace, we hope you will take a few minutes to provide insight on how you manage your activities and what information you collect. Please provide any feedback and comments to

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NEW Summary and Slides from Webinar on Exemption Tool

The Friday, March 6, 2015 assister webinar featured a walkthrough of the exemptions screener tool, which assisters can use to help consumers figure out which exemptions from the shared responsibility payment may apply to them, as well as step-by-step instructions on how to apply for each exemption through the Marketplace or on their tax return.  Please note that this tool is not an application for an exemption. Presentation slides from the March

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NEW Summary and Slides from Webinar on Special Enrollment Periods and SEP Screener Tool

The Friday, March 6, 2015 assister webinar featured a presentation on special enrollment periods and the SEP Screener Tool. For most people, the last day to enroll in a 2015 Marketplace plan was February 15, 2015; but in some cases, consumers may qualify for a SEP 60 days following certain life events that involve a change in family status (for example, marriage or birth of a child) or loss of other health coverage. Employer-sponsored plans must

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On Friday, February 20, 2015, CMS announced a special enrollment period for individuals and families in states that use the Federally-facilitated Marketplace who did not have health coverage in 2014 and are subject to the fee or “shared responsibility payment” when they file their 2014 taxes. This special enrollment period will allow individuals and families who were unaware of or didn’t understand the implications of this new requirement to

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Consumer Marketplace Application Checklist

HHS released a checklist entitled, “Get Ready to Apply or Renew Your Health Insurance Marketplace Coverage” to assist consumers with applying for or renewing Marketplace coverage.  The worksheet outlines important items a prospective or returning applicant may need when applying for Marketplace coverage, such as employer and income information, policy numbers, and social security numbers for everyone on the application. The checklist also details

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