Issuers of public exchange plans should use enrollment records and formal appeal processes to clear up any consumer concerns about tax credit subsidy amounts. Issuers of “qualified health plans” (QHPs) should not simply assume a consumer knows what the right subsidy amount is.
Officials at the Center for Consumer Information & Insurance Oversight (CCIIO) — the U.S. Department of Health and Human Services (HHS) agency in charge of overseeing Patient Protection and Affordable Care Act (PPACA) commercial health insurance programs — give that answer and others in a new batch of exchange plan casework advice.
See also: How will CCIIO police the PPACA risk programs?
See also: How will feds handle exchange agent concerns?
CCIIO officials also answer questions about matters such as “plan enrollees” who appear out of nowhere, the definition of “defective enrollment,” and the meaning of “ARC referral.”