- I received a notice stating that the Connect for Health Colorado marketplace could not verify my income and that I must submit a new application. Why did I get this notice?
You received a notice from the Connect for Health Colorado marketplace in October stating that you were eligible for auto-redetermination and auto-renewal. After Connect for Health Colorado sent you this notice Connect for Health Colorado received new information from the federal government regarding your income that makes you (and your household) potentially ineligible for the tax credit in 2015. Because we cannot say whether you are still eligible for the federal tax credit, you must come back to the Connect for Health Colorado marketplace and re-apply for the tax credit by submitting a new application. If your updated eligibility determination makes you newly ineligible for the tax credit or cost sharing reductions, you will have the option to select a new plan.
- If I am receiving financial assistance, do I need to fill out a new application, or grant permission for the Connect for Health Colorado marketplace to verify my income for my annual eligibility redetermination?
No. If you are receiving financial assistance, you gave the Connect for Health Colorado marketplace permission to access income information for the upcoming plan year by signing your 2014 application (see highlighted language below).
- If I miss the deadline to make a change to my tax credit eligibility, can I make changes later in the year?
Changes affecting your eligibility for the tax credit such as changes to your annual household income or family size may be reported at any time during the year. If the change you report to us makes you newly eligible or ineligible for the tax credit or cost sharing reductions, you will have the opportunity to shop for a new plan.
- If I need to report a change to Connect for Health Colorado, do I have to go to Medicaid (PEAK) first?
No. Connect for Health Colorado and the Department of Health Care Policy and Financing have been working together to develop a one-stop application that provides eligibility determinations for the tax credit, cost sharing reductions, Child Health Plan Plus (CHP+), and Health First Colorado (Colorado’s Medicaid Program). You can access the shared application through your Connect for Health Colorado account.
- What are my responsibilities for reporting changes to family size and income? How do I report a change?
Reporting changes to the Connect for Health Colorado marketplace for the 2015 plan year is your responsibility. If you are receiving financial assistance, you will have until December 15 to report changes to the Connect for Health Colorado marketplace for January 1 coverage. You can report changes online through your User Account, in-person with a Connect for Health Colorado Broker or Health Coverage Guide, or over the phone with a Connect for Health Colorado Customer Service Center Representative beginning November 15.
- What if I disagree with the 2015 tax credit amount stated in my redetermination and renewal notice?
The tax credit amount in your notice was determined using the most recent income and family size information that you reported to us as of October 1, 2014. Changes to your income or household size reported after October 1, will not be reflected in your notice. If you disagree with the information listed in your notice or would like to report a change in circumstance, you can submit a new eligibility application online, with the help of your Connect for Health Colorado Broker or Health Coverage Guide, or over the phone with a Service Center Representative. You will have until December 15 to re-apply for the tax credit and receive an updated determination.
- What is auto-redetermination?
Each year the Connect for Health Colorado marketplace must redetermine your eligibility if you are receiving financial assistance. The Connect for Health Colorado marketplace must also allow you or someone on your behalf to report changes to your eligibility each year via phone or online. Connect for Health Colorado will send you a notice if you are eligible for auto-redetermination, the amount of the tax credit you are eligible for, and that you are not required to take action. If you do not report a change to your eligibility by December 15, Connect for Health Colorado will auto-redetermine your financial assistance for the amount provided to you in your notice.
- What is my deadline to report a change to my eligibility for the tax credit for January 1 coverage?
You will have until December 15 to re-apply for the tax credit and receive an updated eligibility determination. To re-apply you will need to submit a new eligibility application. Depending on the type of change you report (for example, increase in annual household income), your eligibility for the tax credit and cost sharing reductions might change.
- Will my income be verified as part of the annual eligibility redetermination process?
The Connect for Health Colorado marketplace is required to verify current customer income using a federal data source. A subset of our customers will be placed through this federal verification service. The information in the federal data service will be the most recent income information on file for you and other members of your family. If you have more current income information or other eligibility criteria such as changes to your household size, you can have your eligibility re-determined for 2015 beginning November 15 by completing a new application.
If the information Connect for Health Colorado receive from the federal service places the household in one of the following buckets, Connect for Health Colorado will send a notice informing the household to submit a new financial assistance application.