Employers Receiving 2016 “Health Insurance Marketplace” Notices

If you are an employer that has received a notice titled, “health insurance marketplace” from Department of Health and Human Services don’t ignore it.

Employer Receipt of “Health Insurance Marketplace” Notices
Under the HHS Notice of Benefit and Payment Parameters, Marketplaces must notify employers within a reasonable timeframe following any month of the employee’s eligibility determination and enrollment. Previously released FAQs indicated that the Marketplaces would begin sending out employer notices in spring 2016, with additional notices to follow throughout the year.

While the Marketplaces are permitted to send employer notices either on an employee-by-employee basis or in groups of employees, for 2016 the Marketplaces intend to send notices in groups of employees.

Employer Appeals Process
Appeal of an employer notice generally must be made within 90 days. In the appeal, the employer may assert that it provides its employee access to affordable, minimum value employer-sponsored coverage or that its employee is enrolled in employer coverage, and therefore that the employee is ineligible for advance payments of the premium tax credit. For more on the appeals process, click here.