Guidance on Annual Eligibility Redeterminations and Re-enrollments for Marketplace Coverage for 2016

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This guidance describes the alternative procedures for eligibility redetermination for enrollment in a qualified health plan through the Marketplace and insurance affordability programs for benefit year 2016. These procedures incorporate some modifications from the alternative procedures specified by the Secretary for benefit year 2015, and will be implemented by each Federally-facilitated Marketplace (FFM). Like the alternative procedures for benefit year 2015, the alternative procedures preserve a core feature of the annual redetermination process, namely that an enrollee may take no action and retain coverage for 2016, which is important in promoting continuity of coverage while limiting administrative burden for enrollees, issuers, and Marketplaces.

Resource Details

Date: May 2015
Author: Department of Health and Human Services