COBRA and The New Laws

1. If you do NOT enroll in COBRA, you could be subsidy eligible. It doesn't matter that you are eligible for COBRA. The important point is that you did not enroll in COBRA in the first place. (This differs from regular participants of a group plan that are blocked from subsidies simply by being ELIGIBLE FOR employer-sponsored adequate and affordable group coverage.)

January 20, 2016

Do these new set of SEP rule changes for 2016 state that an employee who leaves his/her job, and is eligible for COBRA, is NOT eligible to purchase a plan on the Marketplace? Looks like it, but since it's government-speak, I need input from the agent community..

"As planned, the FFM and SBM-FPs no longer utilize the following instances of existing SEP authority to allow consumers to enroll in or change QHPs because the specified time period has ended, the situation it addressed has been resolved, or needed system updates have been made: enrolled with surplus APTC as a result of a redundant or duplicate policy, tax dependents with a social security income error, incorrect APTC determination due to a system error for certain lawfully present non-citizens, certain lawfully present non-citizens below 100% FPL with cleared immigration status inconsistency, individuals eligible for or enrolled in COBRA, tax season and individuals losing coverage through the Pre-Existing Condition Health Insurance Program (PCIP)."

Source: https://www.regtap.info/faq_viewe.php?i=14666
 
So, what you're saying is, COBRA eligible clients now have to call the exchange to enroll with an SEP?

Doesn't matter what the rules are, if you call in, you get enrolled.
 
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