In this Health Reform: Beyond the Basics presentation, January Angeles, Senior Health Policy Analyst, describes the Federally-Facilitated Marketplace (FFM) process for renewing coverage and premium tax credits for 2016 coverage. It details how premium tax credits and cost-sharing reductions will be redetermined for people who do not return to the Marketplace to provide updated information.

Presentation Slides

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Overview of Open Enrollment

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Reasons to return to the Marketplace for 2016 coverage

FFM auto-enrollment vs. auto-renewal/redetermination (video section, slides)

2016 open enrollment timeline (video section, slides)

Notices consumers will receive before open enrollment begins (video section, slides)

 

Auto-Enrollment into Plans in the FFM

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What happens when a consumer’s plan is discontinued?

Rare situations to look out for (video section, slides)

 

Auto-Renewal of APTCs in the FFM

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FFM renewal process for 2015 coverage vs 2016 coverage

Notices:

• Notices and outcome for those eligible for auto-enrollment with APTC (video section, slides)
• Notices and outcome or those eligible for auto-enrollment without APTC (video section, slides)

APTC auto-renewal process (video section, slides)

• Income adjustment factor (video section, slides)

Examples:

• When the FFM will use 2015 projected income (video section, slides)
• When the FFM will use 2014 tax data (video section, slides)
• Renewal process in 2016 (video section, slides)

Tips for Assisters (video section, slides)

 

Listen to Q&A from webinar presented on October 6, 2015: 

 

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Additional Resources

• Key Facts: Renewing APTCs for 2016 in the FFM | View Q&A
• Register for upcoming webinars | Upcoming webinars
• Key Facts About Health Reform | View all key facts