Webinar OE5: Post-Open Enrollment Issues
In this Health Reform: Beyond the Basics webinar presented on December 20, 2017, Tara Straw, Senior Policy Analyst, Shelby Gonzales, Senior Policy Analyst, and Halley Cloud, Health Outreach Manager, focus on post-open enrollment issues such as: 1) the new rule that allows insurers to demand payment of past-due premiums before 2018 coverage can be effectuated; 2) tips on resolving data-matching issues; and 3) information on certain special enrollment periods that are available now that open enrollment has ended for most states.
Presentation Slides
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Past-Due Premiums
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Collection of past premium debt (video section, slides)
- Notification requirement
Grace period rules:
- Health coverage
- Reconciliation
Examples: (video section, slides)
- General collection of past premium debt
- Inside grace period during open enrollment
- Loss of APTC during the enrollment year
Avoiding/Handling Collection of Past Premium Debt
Resolving Data-Matching Issues
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Key considerations:
- Income DMIs
- Immigration or citizenship DMIs
Common Special Enrollment Periods Available Now
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States with extended open enrollment periods
Enrollment past December 15: Common SEPs available now
- Areas affected by recent hurricanes or other natural disaster (video section, slides)
- 2017 plan was discontinued (video section, slides)
- Auto-enrolled into a 2018 plan without subsidies (video section, slides)
Q&A
Additional Resources
Resources | View resources links
Key Facts: Past-Due Premiums in the Marketplace | View key facts
Webinar: Preventing and Resolving Data-Matching Issues | View webinar
Special Enrollment Period Reference Chart | View reference chart
Fact Sheet: Discontinued 2017 Marketplace Plans | View fact sheet
Explainer: Auto-Renewal Process for 2018 | View video
Beyond the Basics Webinar Series | View all webinars
Key Facts About Health Reform | View all key facts