Enrollment
Premium
100

This is the primary system used by consumers to apply for health coverage through the FFE.

100

This is the standard duration of the grace period provided to enrollees receiving Advanced Premium Tax Credits (APTCs) who fail to pay their premiums.

What is 3 consecutive months?

200

Consumers must report this change within 30 days to maintain eligibility for subsidies.

What is a change in income or household size?

200

During this period of the grace period, insurers must continue to pay all appropriate claims for services rendered.

What is the first month?

300

This is the annual period when consumers can enroll or change their Marketplace health insurance plans.

What is Open Enrollment?

300

If an enrollee fails to pay their premiums by the end of the grace period, insurers may take this action.

What is terminate the enrollee's coverage?

400

Consumers who experience this event may qualify for a Special Enrollment Period.

What is a qualifying life event?

400

Issuers must send a notice of payment delinquency to enrollees within this time frame after discovering the delinquency.

What is 10 business days?

500

When coverage is terminated due to non-payment of premiums, the effective end date is the last day of this part of the grace period.

What is the first month of the three-month grace period?

500

This term describes the first premium payment required to start coverage under a new health plan.

What is a binder payment?

600

For enrollees who are not receiving APTC, this is the typical grace period before coverage ends due to non-payment.

What is one or two months? (30 or 60 days)

600

If an enrollee fails to make this payment, their coverage may be terminated after the grace period ends.

What is a monthly premium payment?

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