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Health Insurance Exchange Eligibility: HHS Proposes Verification and Appeals Procedures
Seyfarth Shaw
[Guidance Overview] Jan. 22, 2013 "The proposed regulations provide that the Exchange must accept an individual's attestation regarding whether he or she is enrolled in an eligible employer-sponsored plan or is eligible for such a plan. However, if the individual's statements are not reasonably compatible with information the Exchange has from other sources ... or are internally inconsistent, then the Exchange must take further steps to resolve inconsistencies, such as contacting an employer of the individual ... to verify whether the individual is enrolled in or eligible for qualifying coverage. Employers should be prepared to receive inquiries from Exchanges who are attempting this type of verification." MORE >> |
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