6 resources for ACA extensions and exemptions
Official HHS guidance for plans and consumers
The Department of Health and Human Services (HHS) released several guidance documents to explain the situations that would allow an extension for consumers beyond the open-enrollment deadline. Based on the morning meltdown of healthcare.gov on deadline day, the extensions might be more than HHS bargained for.
Guidance for Issuers on People “In Line”:http://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/in-line-SEP-3-26-2014.pdf
Guidance for Issuers on Complex Cases:http://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/complex-cases-SEP-3-26-2014.pdf
Assister Tips for those “In Line”: http://marketplace.cms.gov/help-us/assisting-consumers-march-31.pdf
Assister Tips Complex Cases: http://marketplace.cms.gov/help-us/complex-cases-sep.pdf
The consumer fact sheet is posted here: http://marketplace.cms.gov/getofficialresources/publications-and-articles/sep-complex-cases.pdf
IRS guidance for those who are exempt from obtaining coverage:
http://www.irs.gov/uac/ACA-Individual-Shared-Responsibility-Provision-Exemptions
Conversations With Perry and Friends: Paul Fronstin, Ph.D.
May 9th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. In this episode, his guest is Paul Fronstin, Ph.D., director of health benefits research at the Employee Benefit Research Institute.
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Conversations With Perry and Friends
April 14th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. His guest this episode is John Baackes, the former CEO of L.A. Care Health Plan.
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