Additional Resources
Open Enrollment Webinar Series: Coverage Year 2024
Reference Charts:
- Medicaid Household Rules
- Special Enrollment Periods
- Minimum Essential Coverage
- Yearly Guidelines & Thresholds
Guide: Employer Coverage & PTC Eligibility
FAQ:
Open Enrollment Series:
In this Beyond the Basics webinar presented on October 24, 2023, Claire Heyison, Senior Policy Analyst for Health Insurance & Marketplace Policy, and Jenny Sullivan, Director of Health Coverage Access, bring together all of the policies covered in the Beyond the Basics webinar series by walking through a series of common, but complex, enrollment scenarios.
Webinar Resources
Jump To:
Scenario 1: The Sandoval Family
- Sandoval Family: Focus Area
- The Sandoval Family is Automatically Re-Enrolled in a Silver Plan
- How is APTC/CSR Redetermined?
- Switching Plans
- Reporting a Change in Income
- Results of Eligibility Determination
Scenario 2: The Wang/Li Family
- Wang/Li Family: Focus Area
- Loss of Medicaid/CHIP
- Determining Households
- Tax Filing Requirement
- Reporting Income
- Employer-Sponsored Insurance (ESI)
- Understanding Medicaid/CHIP Eligibility
- Bailey Family: Focus Areas
- Mike
- Lauren
- Jadrian and Samara
- Bailey Family Resolution
- What if Jadrian and Samara were enrolled in marketplace coverage with APTC for a portion of 2023?
- Schmidt Family: Focus Area
- Marketplace and APTC/CSR Eligibility Criteria
- Is Medicare MEC?
- Gary and Bonnie’s Coverage Transitions
- Simultaneous Marketplace + Medicare Enrollment
- Periodic Data Matching Notice (Medicare)
- What About People Who Miss the IEP to Enroll in Medicare?
- What About People Who Don’t Qualify for Premium-Free Medicare?
- State Health Insurance Assistance Programs