Examples of Exchange service area in a sentence
If you are no longer eligible for coverage in either the region you are moving from or the new region in which you have moved, the Health Plan will provide you with at least ninety (90) days’ notice of the termination of your coverage.For Members who enrolled for coverage through the Exchange: If you move outside of the Exchange service area, you are no longer eligible for coverage through the Exchange.
A) Except as specified in para- graph (a)(3)(iv)(B) of this section if all of the members of a tax household are not within the same Exchange service area, in accordance with the applicable standards in paragraphs (a)(3)(i), (ii), and (iii) of this section, any member of the tax household may enroll in a QHP through any of the Exchanges for which one of the tax filers meets the residency standard.
We are also finalizing increased flexibility in the Navigator program by removing the requirement that each Exchange must have at least two Navigator entities, one of which must be a community and consumer focused non-profit, and by removing the standard requiring physical presence of the Navigator entity in the Exchange service area.
We note that the Department of Health and Human Services has requested comments in its proposed regulations on Exchanges on whether qualified health plans offered on an Exchange should be required to cover all members of the family if they live in the same Exchange service area.
We note that QHP issuers would not be required to cover dependents living outside of the Exchange service area.
We note that the aforementioned sections of the Affordable Care Act create a central role for the Exchange in the process of determining an individual’s eligibility for enrollment in a QHP, advance payments of the premium tax credit, cost-sharing reductions, Medicaid, CHIP and the BHP, if a BHP is operating in the Exchange service area.
An applicant may propose to serve populations in multiple FFE service areas through the submission of one application, by submitting separate budget narratives and project (metric) goals for each Exchange service area it proposes to serve (See Sections A4.
In paragraph (a), we propose that the Exchange use a single streamlined application to collect information necessary for QHP enrollment, advance payments of the premium tax credit, cost-sharing reductions, and Medicaid, CHIP, and the BHP, if a BHP is operating in the Exchange service area.
The administrative costs of operating an Exchange will almost certainly vary bythe number of enrollees in the Exchange due to economies of scale, variation in the scope of the Exchange’s activities, and variation in average premium in the Exchange service area.
Commentators suggested that an Exchange service area is different than a rating area as that term is used in section 36B(b)(3) for determining the applicable benchmark plan.