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BEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
PART VII: HEALTHCARE.GOV REDETERMINATION AND RENEWAL HealthCare.gov Redetermination and Renewal Process for 2021. October 8, 2020. Part VII: Presented by the Center on Budget and Policy Priorities. Tara Straw, Senior Policy Analyst FEMA SPECIAL ENROLLMENT PERIOD ALLOWS ADDITIONAL PEOPLE TO FEMA Special Enrollment Period Allows Additional People to Enroll What is the FEMA SEP? A change to the HealthCare.gov application implements the “FEMA SEP” to allow consumers who lostBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
PART VII: HEALTHCARE.GOV REDETERMINATION AND RENEWAL HealthCare.gov Redetermination and Renewal Process for 2021. October 8, 2020. Part VII: Presented by the Center on Budget and Policy Priorities. Tara Straw, Senior Policy Analyst FEMA SPECIAL ENROLLMENT PERIOD ALLOWS ADDITIONAL PEOPLE TO FEMA Special Enrollment Period Allows Additional People to Enroll What is the FEMA SEP? A change to the HealthCare.gov application implements the “FEMA SEP” to allow consumers who lost JUNE | 2021 | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
ARP COBRA SUBSIDY FAQ FAQ: ARP COBRA Subsidies. May 2021. The American Rescue Plan (ARP) is a new law to address the COVID-19 public health and economic crisis. It includes a provision that provides temporary COBRA subsidies. This FAQ includes information about how these subsidies work. The FAQ was updated on May 5, 2021 to reflect new guidance which clarified that WEBINAR: NAVIGATOR PROGRAM FUNDING Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
COVERAGE YEAR 2020
For households with more than 8, add $4,420 for each additional person. Note: Eligibility for premium tax credits in coverage year 2020 is based on poverty guidelines for 2019. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
KEY FACTS: HELPING FAMILIES THAT INCLUDE IMMIGRANTS APPLY Updated January 25, 2016. Families that include immigrants may experience barriers when applying for health coverage. The following questions and answers explains issues that families may face and provides information about key concerns families with immigrants may have when completing the application process. GUIDE TO MINIMUM ESSENTIAL COVERAGE (MEC) 1 | MEC Reference Chart, June 2016 Guide to Minimum Essential Coverage (MEC) What Types of Coverage Count to Meet the Individual Responsibility Requirement and How Eligibility for theBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350.COVERAGE YEAR 2021
For households with more than 8, add $4,480 for each additional person. Note: Eligibility for premium tax credits in coverage year 2021 is based on poverty guidelines for 2020. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
FEMA SPECIAL ENROLLMENT PERIOD ALLOWS ADDITIONAL PEOPLE TO FEMA Special Enrollment Period Allows Additional People to Enroll What is the FEMA SEP? A change to the HealthCare.gov application implements the “FEMA SEP” to allow consumers who lost REFERENCE GUIDE TO IMMIGRATION DOCUMENTS REFERENCE GUIDE: DOCUMENTS USED TO VERIF IMMIGRATION STATUS PAGE 2 OF 10 2 | Reference Guide, November 2017 examples of document types Permanent Resident Card (I-551, "green card")BEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350.COVERAGE YEAR 2021
For households with more than 8, add $4,480 for each additional person. Note: Eligibility for premium tax credits in coverage year 2021 is based on poverty guidelines for 2020. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
FEMA SPECIAL ENROLLMENT PERIOD ALLOWS ADDITIONAL PEOPLE TO FEMA Special Enrollment Period Allows Additional People to Enroll What is the FEMA SEP? A change to the HealthCare.gov application implements the “FEMA SEP” to allow consumers who lost REFERENCE GUIDE TO IMMIGRATION DOCUMENTS REFERENCE GUIDE: DOCUMENTS USED TO VERIF IMMIGRATION STATUS PAGE 2 OF 10 2 | Reference Guide, November 2017 examples of document types Permanent Resident Card (I-551, "green card") ARP COBRA SUBSIDY FAQ FAQ: ARP COBRA Subsidies. May 2021. The American Rescue Plan (ARP) is a new law to address the COVID-19 public health and economic crisis. It includes a provision that provides temporary COBRA subsidies. This FAQ includes information about how these subsidies work. The FAQ was updated on May 5, 2021 to reflect new guidance which clarified that WEBINAR: NAVIGATOR PROGRAM FUNDING Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI).COVERAGE YEAR 2021
For households with more than 8, add $4,480 for each additional person. Note: Eligibility for premium tax credits in coverage year 2021 is based on poverty guidelines for 2020. KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: IMMIGRANT ELIGIBILITY FOR HEALTH INSURANCE Key Facts: Immigrant Eligibility for Health Insurance Affordability Programs. Many individuals who are lawfully present in the United States are eligible for health coverage through Medicaid, the Children’s Health Insurance Program (CHIP), or subsidized plans in federal and state marketplaces. All U.S. citizens are eligible forthese coverage
GUIDE TO MINIMUM ESSENTIAL COVERAGE (MEC) 1 | MEC Reference Chart, June 2016 Guide to Minimum Essential Coverage (MEC) What Types of Coverage Count to Meet the Individual Responsibility Requirement and How Eligibility for the UPDATE: CHANGES TO MAGI IN 2018 One non-MAGI change is noteworthy. Fewer people will pay the shared responsibility fee in 2018 (before it’s repealed in 2019) because tax-filing will be triggered at a higher income, qualifying more people for an exemption. For example, a single person doesn’t need to file if income is less than $12,000 in 2018, compared to $10,400 in2017.
REFERENCE GUIDE TO IMMIGRATION DOCUMENTS REFERENCE GUIDE: DOCUMENTS USED TO VERIF IMMIGRATION STATUS PAGE 2 OF 10 2 | Reference Guide, November 2017 examples of document types Permanent Resident Card (I-551, "green card")BEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350.COVERAGE YEAR 2021
For households with more than 8, add $4,480 for each additional person. Note: Eligibility for premium tax credits in coverage year 2021 is based on poverty guidelines for 2020. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FEMA SPECIAL ENROLLMENT PERIOD ALLOWS ADDITIONAL PEOPLE TO FEMA Special Enrollment Period Allows Additional People to Enroll What is the FEMA SEP? A change to the HealthCare.gov application implements the “FEMA SEP” to allow consumers who lostBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350.COVERAGE YEAR 2021
For households with more than 8, add $4,480 for each additional person. Note: Eligibility for premium tax credits in coverage year 2021 is based on poverty guidelines for 2020. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FEMA SPECIAL ENROLLMENT PERIOD ALLOWS ADDITIONAL PEOPLE TO FEMA Special Enrollment Period Allows Additional People to Enroll What is the FEMA SEP? A change to the HealthCare.gov application implements the “FEMA SEP” to allow consumers who lost WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
ARP COBRA SUBSIDY FAQ FAQ: ARP COBRA Subsidies. May 2021. The American Rescue Plan (ARP) is a new law to address the COVID-19 public health and economic crisis. It includes a provision that provides temporary COBRA subsidies. This FAQ includes information about how these subsidies work. The FAQ was updated on May 5, 2021 to reflect new guidance which clarified that YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI).COVERAGE YEAR 2021
For households with more than 8, add $4,480 for each additional person. Note: Eligibility for premium tax credits in coverage year 2021 is based on poverty guidelines for 2020.COVERAGE YEAR 2021
YEAY GEE A TEO PAGE 1 OF 2 1 | Yearly Guidelines and Thresholds, March 2021 Coverage Year 2021 Expected Premium Contribution (Coverage Year 2021) Employer-Sponsored Insurance Affordability Threshold (CoverageYear 2021)
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: IMMIGRANT ELIGIBILITY FOR HEALTH INSURANCE Key Facts: Immigrant Eligibility for Health Insurance Affordability Programs. Many individuals who are lawfully present in the United States are eligible for health coverage through Medicaid, the Children’s Health Insurance Program (CHIP), or subsidized plans in federal and state marketplaces. All U.S. citizens are eligible forthese coverage
GUIDE TO MINIMUM ESSENTIAL COVERAGE (MEC) 1 | MEC Reference Chart, June 2016 Guide to Minimum Essential Coverage (MEC) What Types of Coverage Count to Meet the Individual Responsibility Requirement and How Eligibility for the REFERENCE GUIDE TO IMMIGRATION DOCUMENTS REFERENCE GUIDE: DOCUMENTS USED TO VERIF IMMIGRATION STATUS PAGE 2 OF 10 2 | Reference Guide, November 2017 examples of document types Permanent Resident Card (I-551, "green card")BEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law CenterBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law Center WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
KAISER FAMILY FOUNDATION SUBSIDY CALCULATOR The Health Insurance Marketplace Calculator allows you to enter household income in terms of 20 21 dollars or as a percent of the Federal poverty level. Household income includes incomes of the person who pays taxes, the spouse, and, in some cases, children, known as dependents on tax returns. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
GUIDE TO MINIMUM ESSENTIAL COVERAGE (MEC) 1 | MEC Reference Chart, June 2016 Guide to Minimum Essential Coverage (MEC) What Types of Coverage Count to Meet the Individual Responsibility Requirement and How Eligibility for the VITA/TCE ADVANCED TOPIC: RECONCILING THE PREMIUM TAX CREDIT 1. Enroll in a Marketplace plan 2. Have income between 100 and 400 percent of the federal poverty line (FPL) Individual: $12,140 - $48,560 Family of four: $25,100 - $100,400 UPDATE: CHANGES TO MAGI IN 2018 One non-MAGI change is noteworthy. Fewer people will pay the shared responsibility fee in 2018 (before it’s repealed in 2019) because tax-filing will be triggered at a higher income, qualifying more people for an exemption. For example, a single person doesn’t need to file if income is less than $12,000 in 2018, compared to $10,400 in2017.
PART IV: EXEMPTIONS AND PENALTIES $0 $200 $400 $600 $800 $1,000 $1,200 $1,400) Household Income 2.5% of Income Flat Fee Calculating the Penalty: Filing Single (2017) 4 $10,400 (tax filing threshold, REFERENCE GUIDE TO IMMIGRATION DOCUMENTS REFERENCE GUIDE: DOCUMENTS USED TO VERIF IMMIGRATION STATUS PAGE 2 OF 10 2 | Reference Guide, November 2017 examples of document types Permanent Resident Card (I-551, "green card") KEY FACTS: AUTO-RENEWAL OF ADVANCE PREMIUM TAX CREDITS ON For most enrollees in states using HealthCare.gov, there is a process to auto-renew their eligibility for advance premium tax credits (APTC) and auto-enroll them in a health plan if they don’t return to the marketplace to update their financial information and pick a health plan. Even though this process is available, it is highly recommendedBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law CenterBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law Center WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
KAISER FAMILY FOUNDATION SUBSIDY CALCULATOR The Health Insurance Marketplace Calculator allows you to enter household income in terms of 20 21 dollars or as a percent of the Federal poverty level. Household income includes incomes of the person who pays taxes, the spouse, and, in some cases, children, known as dependents on tax returns. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
GUIDE TO MINIMUM ESSENTIAL COVERAGE (MEC) 1 | MEC Reference Chart, June 2016 Guide to Minimum Essential Coverage (MEC) What Types of Coverage Count to Meet the Individual Responsibility Requirement and How Eligibility for the VITA/TCE ADVANCED TOPIC: RECONCILING THE PREMIUM TAX CREDIT 1. Enroll in a Marketplace plan 2. Have income between 100 and 400 percent of the federal poverty line (FPL) Individual: $12,140 - $48,560 Family of four: $25,100 - $100,400 UPDATE: CHANGES TO MAGI IN 2018 One non-MAGI change is noteworthy. Fewer people will pay the shared responsibility fee in 2018 (before it’s repealed in 2019) because tax-filing will be triggered at a higher income, qualifying more people for an exemption. For example, a single person doesn’t need to file if income is less than $12,000 in 2018, compared to $10,400 in2017.
PART IV: EXEMPTIONS AND PENALTIES $0 $200 $400 $600 $800 $1,000 $1,200 $1,400) Household Income 2.5% of Income Flat Fee Calculating the Penalty: Filing Single (2017) 4 $10,400 (tax filing threshold, REFERENCE GUIDE TO IMMIGRATION DOCUMENTS REFERENCE GUIDE: DOCUMENTS USED TO VERIF IMMIGRATION STATUS PAGE 2 OF 10 2 | Reference Guide, November 2017 examples of document types Permanent Resident Card (I-551, "green card") KEY FACTS: AUTO-RENEWAL OF ADVANCE PREMIUM TAX CREDITS ON For most enrollees in states using HealthCare.gov, there is a process to auto-renew their eligibility for advance premium tax credits (APTC) and auto-enroll them in a health plan if they don’t return to the marketplace to update their financial information and pick a health plan. Even though this process is available, it is highly recommendedBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law CenterBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law Center WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
KAISER FAMILY FOUNDATION SUBSIDY CALCULATOR The Health Insurance Marketplace Calculator allows you to enter household income in terms of 20 21 dollars or as a percent of the Federal poverty level. Household income includes incomes of the person who pays taxes, the spouse, and, in some cases, children, known as dependents on tax returns. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
GUIDE TO MINIMUM ESSENTIAL COVERAGE (MEC) 1 | MEC Reference Chart, June 2016 Guide to Minimum Essential Coverage (MEC) What Types of Coverage Count to Meet the Individual Responsibility Requirement and How Eligibility for the VITA/TCE ADVANCED TOPIC: RECONCILING THE PREMIUM TAX CREDIT 1. Enroll in a Marketplace plan 2. Have income between 100 and 400 percent of the federal poverty line (FPL) Individual: $12,140 - $48,560 Family of four: $25,100 - $100,400 UPDATE: CHANGES TO MAGI IN 2018 One non-MAGI change is noteworthy. Fewer people will pay the shared responsibility fee in 2018 (before it’s repealed in 2019) because tax-filing will be triggered at a higher income, qualifying more people for an exemption. For example, a single person doesn’t need to file if income is less than $12,000 in 2018, compared to $10,400 in2017.
PART IV: EXEMPTIONS AND PENALTIES $0 $200 $400 $600 $800 $1,000 $1,200 $1,400) Household Income 2.5% of Income Flat Fee Calculating the Penalty: Filing Single (2017) 4 $10,400 (tax filing threshold, REFERENCE GUIDE TO IMMIGRATION DOCUMENTS REFERENCE GUIDE: DOCUMENTS USED TO VERIF IMMIGRATION STATUS PAGE 2 OF 10 2 | Reference Guide, November 2017 examples of document types Permanent Resident Card (I-551, "green card") KEY FACTS: AUTO-RENEWAL OF ADVANCE PREMIUM TAX CREDITS ON For most enrollees in states using HealthCare.gov, there is a process to auto-renew their eligibility for advance premium tax credits (APTC) and auto-enroll them in a health plan if they don’t return to the marketplace to update their financial information and pick a health plan. Even though this process is available, it is highly recommendedBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law CenterBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law Center WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
KAISER FAMILY FOUNDATION SUBSIDY CALCULATOR The Health Insurance Marketplace Calculator allows you to enter household income in terms of 20 21 dollars or as a percent of the Federal poverty level. Household income includes incomes of the person who pays taxes, the spouse, and, in some cases, children, known as dependents on tax returns. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
GUIDE TO MINIMUM ESSENTIAL COVERAGE (MEC) 1 | MEC Reference Chart, June 2016 Guide to Minimum Essential Coverage (MEC) What Types of Coverage Count to Meet the Individual Responsibility Requirement and How Eligibility for the VITA/TCE ADVANCED TOPIC: RECONCILING THE PREMIUM TAX CREDIT 1. Enroll in a Marketplace plan 2. Have income between 100 and 400 percent of the federal poverty line (FPL) Individual: $12,140 - $48,560 Family of four: $25,100 - $100,400 UPDATE: CHANGES TO MAGI IN 2018 One non-MAGI change is noteworthy. Fewer people will pay the shared responsibility fee in 2018 (before it’s repealed in 2019) because tax-filing will be triggered at a higher income, qualifying more people for an exemption. For example, a single person doesn’t need to file if income is less than $12,000 in 2018, compared to $10,400 in2017.
PART IV: EXEMPTIONS AND PENALTIES $0 $200 $400 $600 $800 $1,000 $1,200 $1,400) Household Income 2.5% of Income Flat Fee Calculating the Penalty: Filing Single (2017) 4 $10,400 (tax filing threshold, REFERENCE GUIDE TO IMMIGRATION DOCUMENTS REFERENCE GUIDE: DOCUMENTS USED TO VERIF IMMIGRATION STATUS PAGE 2 OF 10 2 | Reference Guide, November 2017 examples of document types Permanent Resident Card (I-551, "green card") KEY FACTS: AUTO-RENEWAL OF ADVANCE PREMIUM TAX CREDITS ON For most enrollees in states using HealthCare.gov, there is a process to auto-renew their eligibility for advance premium tax credits (APTC) and auto-enroll them in a health plan if they don’t return to the marketplace to update their financial information and pick a health plan. Even though this process is available, it is highly recommendedBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law CenterBEYOND THE BASICS
Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
PUBLIC CHARGE FAQ
FAQ: Public Charge. April 202 1. In March 2021, the Biden Administration reversed the prior administration’s harmful changes to the public charge immigration policy that stood in the way of immigrants and their families from accessing public benefits. This FAQ explains where the public charge policy stands now. KEY FACTS: EMPLOYER-SPONSORED COVERAGE AND PREMIUM TAX Updated August 2020. Millions of uninsured Americans are eligible for a premium tax credit to help them pay for health coverage. The premium tax credit is only available to people without another offer of affordable and adequate coverage; in most cases, this will mean that people with an offer of employer-sponsored coverage will not be eligible for the premium tax credit. YEARLY INCOME GUIDELINES AND THRESHOLDS Reference Guide: Yearly Income Guidelines and Thresholds. Eligibility for subsidies in the Marketplace is determined in part by using specific percentages and thresholds that are indexed and change each enrollment year. In addition, people who received advance premium tax credits (APTC) in the prior enrollment year will need to complete atax
KEY FACTS: COST-SHARING REDUCTIONS No, the cost-sharing reductions increase the actuarial value of a standard silver plan, which results in lower out-of-pocket charges. Specific cost-sharing charges will vary from silver plan to silver plan with the same actuarial value; in most states, insurers have significant flexibility to set these charges. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR MEDICAID AND THE Updated August 2020. Financial eligibility for most categories of Medicaid and the Children’s Health Insurance Program (CHIP) is determined using a tax-based measure of income called modified adjusted gross income (MAGI). FAQ: CHANGES TO THE MARKETPLACE IN THE AMERICAN RESCUE PLAN FAQ: Changes to the Marketplace in the American Rescue Plan How does the American Rescue Plan impact premiums? The American Rescue Plan isa new law
KEY FACTS: INCOME DEFINITIONS FOR MARKETPLACE AND MEDICAID Under rules put in place by the December 2017 tax law, a dependent must file a tax return for 2020 if she received at least $12,400 in earned income; $1,100 in unearned income; or if the earned and unearned income together totals more than the greater of $1,100 or earned income (up to $12,050) plus $350. IMMIGRANT ELIGIBILITY FOR HEALTH COVERAGE PROGRAMS Immigrant Eligibility for Health Coverage Programs Coverage Year 2019 Center on Budget and Policy Priorities In partnership with the National Immigration Law Center WEBINARS | BEYOND THE BASICS Health Reform: Beyond the Basics is a project of the Center on Budget and Policy Priorities designed to provide training and resources that explain health coverage available through Medicaid, CHIP, and the Marketplace. It is aimed at navigators, advocates, state and local officials and others who help consumers get and keep their healthcoverage.
KAISER FAMILY FOUNDATION SUBSIDY CALCULATOR The Health Insurance Marketplace Calculator allows you to enter household income in terms of 20 21 dollars or as a percent of the Federal poverty level. Household income includes incomes of the person who pays taxes, the spouse, and, in some cases, children, known as dependents on tax returns. KEY FACTS: DETERMINING HOUSEHOLD SIZE FOR THE PREMIUM TAX Updated August 2020. Household size is a key factor in determining eligibility for the premium tax credit. The following Q&A explains the rules on household size and how it affects eligibility for and the amount of the premium tax credit. FAQ: COBRA SUBSIDIES FAQ: COBRA Subsidies How the COBRA Subsidy Works The American Rescue Plan subsidizes COBRA premiums for certain eligible people from April1, 2021
GUIDE TO MINIMUM ESSENTIAL COVERAGE (MEC) 1 | MEC Reference Chart, June 2016 Guide to Minimum Essential Coverage (MEC) What Types of Coverage Count to Meet the Individual Responsibility Requirement and How Eligibility for the VITA/TCE ADVANCED TOPIC: RECONCILING THE PREMIUM TAX CREDIT 1. Enroll in a Marketplace plan 2. Have income between 100 and 400 percent of the federal poverty line (FPL) Individual: $12,140 - $48,560 Family of four: $25,100 - $100,400 UPDATE: CHANGES TO MAGI IN 2018 One non-MAGI change is noteworthy. Fewer people will pay the shared responsibility fee in 2018 (before it’s repealed in 2019) because tax-filing will be triggered at a higher income, qualifying more people for an exemption. For example, a single person doesn’t need to file if income is less than $12,000 in 2018, compared to $10,400 in2017.
PART IV: EXEMPTIONS AND PENALTIES $0 $200 $400 $600 $800 $1,000 $1,200 $1,400) Household Income 2.5% of Income Flat Fee Calculating the Penalty: Filing Single (2017) 4 $10,400 (tax filing threshold, REFERENCE GUIDE TO IMMIGRATION DOCUMENTS REFERENCE GUIDE: DOCUMENTS USED TO VERIF IMMIGRATION STATUS PAGE 2 OF 10 2 | Reference Guide, November 2017 examples of document types Permanent Resident Card (I-551, "green card") KEY FACTS: AUTO-RENEWAL OF ADVANCE PREMIUM TAX CREDITS ON For most enrollees in states using HealthCare.gov, there is a process to auto-renew their eligibility for advance premium tax credits (APTC) and auto-enroll them in a health plan if they don’t return to the marketplace to update their financial information and pick a health plan. Even though this process is available, it is highly recommendedSEARCH
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