No, his QHP will transfer to Medicare.
Yes, we need to enroll him into a new plan, which will automatically cancel his other enrollment.
No, all QHP plans have equivalent Medicare plans that customers will automatically be enrolled into (cross walked).
Yes, he can enroll into a Medicare plan with us and will need to call and cancel his QHP.
She will have to pay back the entire subsidy she was provided as she didn’t fill out the subsidy application accurately.
She will be charged with fraud and be unable to qualify for a subsidy in the future.
She will have a cap of up to $1,250 that she must pay back to the government.
She will be able to keep the subsidy for this year, but will have to update her income for next year.
Yes, leaving COBRA gives her a 60 day SEP to enroll outside of the OEP.
No, she cannot enroll into a QHP as she does not have an SEP and she is not within the OEP (Open Enrollment Period).
No, she is unable to voluntarily drop her COBRA coverage until it runs out and she cannot be enrolled in double coverage.
Yes, there is no enrollment period for Access plans.
Yes, only if he has opted in for the HRA by the deadline of 01/01/2016
Yes, he is automatically qualified for his HRA.
Yes, he cannot lose his HRA just for taking an APTC subsidy.
Yes, he will have the opportunity to opt back in at age 65.
No, he can only get a January 1, 2015 effective date when enrolling in an Access plan.
No, he would have had to enroll by January 15, 2015 on the Marketplace to receive a February 1, 2015 effective date.
Yes, he can choose whatever effective date he wants.
No, he had to enroll by December 31, 2014 for a 2015 plan.
No, once her plan goes into effect she cannot change it.
No, she cannot enroll after January 1, 2015.
Yes, she can enroll anytime throughout the year.
Yes, she can change her plan anytime during the OEP even if the plan is in effect.
He must enroll in a plan through us before his funding will be activated.
The call may not have been dispositioned correctly, so try again with “called to activate funding.”
He must go through the opt in process with an Access BA on the Access website.
Access participants will not be qualified for funding in the SSC.
Are they using her information or his to create the account?
Are the linked in the SSC?
Are they in incorrect campaigns?
Are they both eligible for funding from the same client?
The CSR should create an incident as it has been 21 days.
The CSR should call the carrier with the participant and check the status.
The CSR should transfer to an Access BA to follow up on the status.
The CSR should inform the participant not to worry until it has been 63 days.
Yes, we should enroll all participants that are associated with a client.
Yes, we just need to make sure he is sent to an Access BA who can sell on the Rhode Island Marketplace.
No, we should refer him to the Rhode Island Marketplace
Yes, he just needs to speak to an Access BA that can sell him a plan on the Federally Facilitated Marketplace.
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