Provides information for individuals, families, and small business employers to shop for and enroll in affordable health insurance. Consumers can compare available private health insurance options on the basis of price, benefits and services, quality, and other factors. Also accepts complaints and hears appeals.

Health Insurance Market Appeals/Complaints | Health Insurance Marketplace

Programs that are responsible for hearing appeals and resolving grievances that have been filed by people who have applied for health insurance through the Marketplace and disagree with a decision that has been made. Applicants have the right to appeal eligibility decisions, whether they can enroll in a Marketplace plan outside the regular open enrollment period, whether they are eligible for lower costs based on income, the amount of savings they are eligible for, whether they are eligible for Medicaid or CHIP, whether they are eligible for an exemption from the requirement to have health insurance, and whether the Marketplace made a timely determination regarding their eligibility after they applied. Employers that get a notice from the Marketplace stating they may be subject to the fee can file an appeal if they believe they offered coverage to an employee that is both affordable and meets minimum value standards. These appeals only relate to Marketplace determinations and do not affect issues related to the actual insurance plans available in a particular state.

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Health Insurance Market Appeals/Complaints | Health Insurance Marketplace