Procedures for obtaining waivers, making appeals and changing plans have been established in a May 31st Administrative Bulletin released by the Connector. Enrollment and eligibility information for Commonwealth Care members and other important details have been clarified. This post addresses the hardship waiver process.
A premium hardship waiver is available to current and former Commonwealth Care members, as well as to new applicants whose premiums cause "extreme financial hardship" as defined by the Connector.
A co-pay hardship waiver is available to Commonwealth Care members enrolled in plans without premiums (for those under 150% of the federal poverty level). The process is the same as above, except that waivers or reductions will not be applied to past due co-pay costs.
Click here for the affordability schedule (PDF)
Click here for the premium waiver application (PDF)
Click here for the co-pay waiver application (PDF)
Does the 'affordability
Does the 'affordability schedule' mean that if a person cannot afford their employer-sponsored health plan because the premium is more than $35 per month (with an income between $15,316 and $20,420 for instance), they will not be subject to the tax penalties, and able to remain on UCP? If so, what is the mechanism for documenting this?
Documenting unaffordable
Thanks for your question. I'm checking into this, and will post information here when I learn the answer.
Meg
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