Join Oscar to learn about their 2021 Oscar Individual & Family plan offerings. Space is limited, and you won’t want to miss out! Click on the buttons below to register.
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Cleveland (NE Ohio) DATE: October 14, 2020 TIME: 10:00 am–11:00 am |
Columbus (Central Ohio) DATE: October 14, 2020 TIME: 1:00 pm–2:00 pm |
Not yet appointed with Oscar? Click here to get started.
The Health Insurance Marketplace will use the 2020 FPL guidelines when making calculations for APTC and income-based CSRs for coverage year 2021 starting November 1, 2020.
Note that Medicaid and CHIP assessments/determinations are currently based on the 2020 FPL from the HHS 2020 Poverty Guidelines until January or February 2021when HHS releases the new guidelines for 2021.
The 2021 guidelines have not been released as of the date of publication of this training, but will be available on the HHS Assistant Secretary for Planning and Evaluation (ASPE) website.
Household Size |
100% |
138% |
150% |
200% |
250% |
300% |
400% |
| 1 | $12,760 | $17,609 | $19,140 | $25,520 | $31,900 | $38,280 | $51,040 |
| 2 | $17,240 | $23,791 | $25,860 | $34,480 | $43,100 | $51,720 | $68,960 |
| 3 | $21,720 | $29,974 | $32,580 | $43,440 | $54,300 | $65,160 | $86,880 |
| 4 | $26,200 | $36,156 | $39,330 | $52,400 | $65,500 | $78,600 | $104,800 |
| 5 | $30,680 | $42,338 | $46,020 | $61,360 | $76,700 | $92,040 | $122,720 |
| 6 | $35,160 | $48,521 | $52,740 | $70,320 | $87,900 | $105,480 | $140,640 |
| 7 | $39,640 | $54,703 | $59,460 | $79,280 | $99,100 | $118,920 | $158,560 |
| 8 | $44,120 | $60,886 | $66,180 | $88,240 | $110,300 | $132,360 | $176,480 |
*Chart is for 48 contiguous states and the District of Columbia; for Hawaii and Alaska, please visit the HHS ASPE website: https://aspe.hhs.gov/poverty-guidelines.
Don’t wait! Agents with active on-exchange plans who want to receive renewal compensation must re-certify by the end of 2020. In addition, agents offering on-exchange coverage must certify prior to selling any plans during the 2021 open enrollment period.
Throughout the registration process, you can use the Marketplace Registration Tracker to track your progress.
If you are a new FFM broker, complete the New User Registration on portal.cms.gov.
Contact Geoff Beglen at 513-629-9358 with any questions or concerns.
Below is a selection of important product updates, coverage changes, and business tips from Medical Mutual:
Contact your Cornerstone representative with any questions.
The Centers for Medicare and Medicaid Services (CMS) released a video about reporting federal pandemic unemployment compensation.
The video walks through the streamlined HealthCare.gov application and covers how consumers can:
For additional information on how to assist consumers who are impacted by COVID-19, go to the Marketplace Coverage and Coronavirus webpage.
Contact your Cornerstone representative with any questions.
The Marketplace Learning Management System (MLMS) will close or “go dark” starting July 17 in preparation for the launch of registration and training for plan year 2021.
Before the system “goes dark,” be sure to print your 2020 Registration Completion Certificate(s) and update your information on your MLMS agent/broker profile.
Certificates showing you’ve completed plan year 2020 registration and training will not be available after the MLMS closes or when the system goes live for plan year 2021 registration and training. To print your 2020 Registration Completion Certificate(s):
To update your information on your agent/broker profile:
More information on registration and training for plan year 2021 will be coming soon.
As you’re taking care of clients who have recently lost their employee-based health coverage or clients who have reduced income, consider using Enhanced Direct Enrollment (EDE), which allows you to remotely assist your clients with applying for, enrolling in, and managing Marketplace coverage.
Click here for Healthcare.gov’s seven reasons to use EDE at this time.
Take advantage of Cornerstone’s partnership with HealthSherpa, the country’s largest ACA agent enrollment platform and the only platform approved by CMS to offer EDE. Contact your Cornerstone representative today for more information.
Consumers who have enrolled in coverage through the Health Insurance Marketplace and have received payments of the premium tax credit (APTC) must use Form 1095-A to complete Form 8962 when they file their 2019 federal income taxes. These forms are intended to help consumers reconcile the total APTC they received during 2019 with the amount of premium tax credit (PTC) for which they are eligible based on their final 2019 income and household information.
According to Healthcare.gov, consumers should receive their Form 1095-A form in mail, but they can also access it directly through their Healthcare.gov account in the Tax Form section.
Agents and brokers are able to assist clients in understanding these forms, but cannot help clients file their taxes, unless the agent or broker is a licensed tax professional.
Contact your Cornerstone representative with any questions.
