Webinar OE5: Premium Tax Credits
Key Elements of Eligibility and Enrollment
In this webinar presented on September 19, 2017, Judy Solomon, Vice President for Health Policy, provides a detailed discussion of eligibility for premium tax credits and explains how premium tax credits are calculated.
This is Part I in a four-part series on key elements of eligibility and enrollment.
Presentation Slides
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Overview of Upcoming Open Enrollment Period
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Shorter open enrollment
- States with extended open enrollment
Premium Tax Credit Eligibility
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Definition of premium tax credits
Eligibility requirements for premium tax credits
- Enrollment in a qualified health plan (QHP) (video section, slides)
- Income requirements (video section, slides)
- Eligible filing status (video section, slides)
- Ineligible for other minimum essential coverage (MEC) (video section, slides)
Calculation of the Premium Tax Credit
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How is the amount of the PTC calculated? (video section, slides)
- Benchmark plan
- Expected premium contribution
- Rating factors that affect the cost of the benchmark plan
- Other factors affecting premiums
Examples: Calculating the PTC (video section, slides)
- Impact of benchmark plan
- Impact of expected contribution
- Impact of age
- Impact of tobacco use
- Impact of plan choice on premiums
Q&A
Additional Resources
Minimum Essential Coverage Reference Chart | View chart
Part II: Determining Households and Income | View webinar
Part III: Plan Design and Selection | View webinar
Part IV: Exemptions | View webinar
Key Facts: Employer-Sponsored Coverage and PTC Eligibility | View key facts
Key Facts: Premium Tax Credits | View key facts
Beyond the Basics Webinar Series | View all webinars
Key Facts About Health Reform | View all key facts