GREAT WORK GEORGIA ENROLLMENT ASSISTANCE COMMUNITY!
Congratulations to All!
OE-3 ended with a tremendous success with 12.7 million consumers enrolled nationally and 587,845 enrolled in Georgia.We would love to hear some success stories from the GEAR network! If you have a success story that you would like to share, email Pranay!
Helping Consumers Use Their Coverage
Now that Open Enrollment is over, you can focus on helping the newly insured understand how to use their coverage and navigate any issues they may have. GHF has created a variety of resources to do just this! Some of these resources are highlighted below, and you can find more on our website.
How to Find a Primary Care Provider
SEP Screening Gets Tighter!
On February 24th CMS announced The New Special Enrollment Confirmation Process. Consumers in 38 states using healthcare.gov, including Georgia, will now be required to provide sufficient proof to the marketplace to determine their SEP eligibility. This will certainly add more work at the consumers’ end and may limit SEP enrollments. As SEP screening get tighter, consumers will need to be more proactive in acquiring SEP eligibility documents.
ACA and Tax Filing
Join Us for a Webinar on the ACA and Taxes
In the next two months, consumers may come to you looking for assistance with reconciling their 2015 Marketplace coverage on their tax return. To learn more about the Marketplace and tax filing requirements, please join us and Elise Blasingame from Georgia Watch on our GEAR webinar series titled The ACA and Taxes for Enrollment Assisters on March 1ST at 2:00 PM.
Tax Filing Forms
Anyone with minimum essential coverage (MEC) in 2015 needs to report their health coverage on their 2015 tax return. Everyone that had coverage in 2015 will receive one of the following forms, depending on where they got their coverage:
1095-A — Marketplace (Healthcare.gov) coverage
1095-B — Medicaid, Medicare, Peachcare, individual plans outside the marketplace, other coverage through DHHS designated as minimum essential coverage
1095-C — Employer-based coverage
You can learn more about the forms here. You can also find more information in our Health Insurance and Taxes resource.
National Resource Highlight
Special Enrollment Period Announcement – CMS
In February, CMS announced a special enrollment period for those consumers who do not currently have marketplace coverage due to failure to file and reconcile 2015 taxes. This special enrollment period runs from February 1 to March 31, 2016.
New Marketplace Resources
Special Enrollment Periods Webinar
Beyond the Basics
Reporting Health Coverage on IRS Tax Forms
In the Loop
2016 Federal Poverty Guidelines
If you have any resources that you would like to highlight in GEAR, please send them to Pranay.