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Marketplace: Enrollment & Tax Credits

What is the FFM?

  • It is the Federally-Facilitated Marketplace and it has many roles:
    • Certify Qualified Health Plans (QHPs)
    • Provide consumer education on plans
    • Establish a Navigator program to assist consumers
    • Determine eligibility, tax credits/cost-sharing amounts
    • Enroll consumers in private insurance and public programs

Who is eligible?

  • Marketplace eligibility requires you to:
    • live in the Marketplace's service area
    • Be a U.S. citizen or national (or a non-citizen who is lawfully present for the entire enrollment period
    • Not be incarcerated (can apply is pending disposition of charge)
  • Eligibility for premium tax credits requires:
    • Household income from 100%-400% of FPL (Federal Poverty Level)
    •  Ineligibility for other insurance through employer or other government program

Marketplace Affordability:

  • Financial help available for working families includes:
    • tax credits to lower the premiums qualified individuals pay (100%-400% FPL)
      • premium tax credits
      • advanced premium tax credits
    • reduced cost-sharing to lower out-of-pocket spending for health care (250% FPL and below)

Premium Tax Credits

  • Premium Tax Credit (APTC)
    • the amount depends on:
      • Actual household income as a percentage of FPL
      • Family size
  • Advanced Premium Tax Credit (APTC)
    • You can reduce your premium amount up front by advancing payments directly to your insurer
    • You choose the amount (up to the maximum)
    • The amount is based on projected household income
      • reconciled at tax time against the actual Premium Tax Credit amount you are eligible for
      • Report income changed immediately to avoid an overpayment and balance due

Tax Credit Eligibility

  • Household incomre from 100%-400% of FPL
    • under the full Medicaid expansion anticipated by the ACA, all indivduals would be eligible up to 133% of FPL
    • Household size:
      • One
        • 100%- $11, 490
        • 200%- $22,980
        • 300%- $34,470
        • 400%- $ 45,960
      • Two
        • 100%- $15,510
        • 200%- $31,020
        • 300%- $46,530
        • 400%- $62,040
      • Three
        • 100%- $19,530
        • 200%- $39,060
        • 300%- $58,590
        • 400%- $78,120
      • Four
        • 100%- $23,550
        • 200%- $47,100
        • 300%- $70,650
        • 400%- $94,200

Enrollment for Individual Market:

  • Open enrollment periods:
    • Intially: Oct. 1, 2013-Mar. 31,2014
    • Annually (2014 & after): Oct 15-Dec. 7

Cost-sharing Reductions

  • Eligibility for reduced cost-sharing is based on
    • Incomes at or below 250% of the FPL (58,875 annually for a family of four in 2013)
    • Receiving the new Premium Tax Credit
    • Enrolling in a marketplace silver-level plan

Contact Information: