GEAR
PREPARATIONS FOR OE-4: TIPS FOR ENROLLMENT ASSISTERS
Keeping it Simple for Consumers:
Not all consumers can translate the Federal Poverty Level (FPL) and the percentages easily. You can keep it simple for your consumers by explaining income and eligibility with the example table given below.
| Family Size | Income range for Tax Credit eligibility | Income Range for Tax Credit and Cost Sharing Reduction eligibility |
| Single Person | $11,880 to $47,520 | $11,880 to $29,700 |
| Family of 2 | $16,020 to $64,080 | $16,020 to $40,050 |
| Family of 3 | $20,160 to $80,640 | $20,160 to $50,400 |
| Family of 4 | $24,300 to $97,200 | $24,300 to $60,750 |
| Family of 5 | $28,440 to $113,760 | $28,440 to $71,100 |
For example, instead of saying, “You can qualify for tax credits if you fall between 100% and 400% of the FPL,” you can say, “For your family of two, you qualify for tax credits if your income is between $16,020 and $64,080 per year”.
KEEPING IT EASIER ON YOURSELF
As you know, there are people that come to you for help that have specific needs that require extra time and resources. Some consumers may have language needs, some may have specific needs related to health conditions or identity such as, people living with HIV/AIDS, refugees and immigrants, and those that identify as LGBTQ. In such cases, you can refer them to organizations that have more experience working with these types of cases or seek these organizations’ technical assistance. Below are some such organizations and their specialty areas:
For consumers who need application assistance over the phone
Insure Georgia: 1-866-988-8246
For enrollment concerns related to Asian-American immigrants, consumers with Limited English Proficiency (LEP), and refugees
Center for Pan Asian Community Services (CPACS): 770-936-0969
Boat People SOS (BPSOS): 770-458-6700
For enrollment concerns related to LGBTQ and people living with HIV/AIDS
The Health Initiative: 404-688-2524
GAPHC Navigator Vincent Spann: 404-291-5302
You may also email Pranay for help finding resources. He can be reached at 404-889-5673 x4. You may also find more information on our GEAR page.
MARKETPLACE RESOURCE HIGHLIGHT
This resource provides details on the Marketplace updates for the above-mentioned exemptions. As of September 1, 2016, the Marketplace will no longer process these requests. Consumers are required to request these exemptions while filing their taxes. For more information on eligibility and how to apply, please us the links below:
Exemption for American Indians, Alaska Natives, or people eligible for Indian health services
Exemption due to incarceration
Exemption for members of a health care sharing ministry
MEET THE GEAR TEAM
Pranay Rana is a certified enrollment assister and is GHF’s Consumer Education and Enrollment Specialist. Whitney Griggs is our Outreach & Engagement Manager. Together they manage the GEAR Network. Have a question you’d love to see GEAR address? Let them know!
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