Process in Healthcare.gov

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In this explainer video, the Center on Budget and Policy Priorities provides an explanation of the Healthcare.gov auto-renewal process for 2018 coverage and covers both the process for plan enrollment and redetermination of eligibility for premium tax credits.

Presentation Slides

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Overview

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• Two-step auto-renewal process
• Renewal notices
  • Marketplace open enrollment notices (MOEN)
  • Insurer notices
  • If insurer is no longer offering plans in the Marketplace

 

Redetermination of APTC

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• Auto-renewal process for APTC
  • Eligible for redetermination of APTC
  • Not eligible for redetermination of APTC
• Not eligible for auto-renewal (Medicare Anti-Duplication Provision) OR (member of an enrollment group has Medicare coverage)
• Redetermination of APTC

 

Auto-Enrollment for 2018 Plans

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• Auto-enrollment process
  • Option 1: Auto-enrolled into current plan
  • Option 2: Auto-enrolled into new plan
  • Option 3: Auto-enrolled into new plan with new insurer
• Special enrollment period when auto-enrolled in new plan

 

Tips for Assisters

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• Tips for assisters
• Resources on premium increases for 2018

 

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Additional Resources

Key Facts: Auto-Renewal of APTC for 2018 in Healthcare.gov | View key facts

Key Facts: Past-Due Premiums in the Marketplace | View key facts

Beyond the Basics Webinar Series | View all webinars

Key Facts About Health Reform | View all key facts