Health Sherpa Question ?

[ljubecak]

I have problem with Health Sherpa enrollment.

When I am enrolling Couple or Full Family and one

of the spouse have coverage over their Employer

how you exclude that spouse in Health Sherpa enrollment application ?

 

[Yagents]

If they have access to group coverage, they are not eligible for a subsidy.
So, don't include that spouse, don't put in ANY income, apply only for those members that need coverage.

Another scenario for you, if husband / wife situation, and one is on medicare, but you need the household income, include both on App, but answer questions:
"Yes" - applying for coverage on under 65 spouse.
"No" - applying for coverage on above 65 spouse (but put on app to include household income)

 

[SamIam]

Did you get certified? This is one of the most basic parts of the law. You need to send that client to a agent that knows what they are doing because you don't! Just being honest.

 

[Krball]

Health Sherpa does tend to over simplify the process. Having a good understanding of the ACA is important.

Also keep in mind that although someone is offered a plan at work, there are instances where they can opt out...9.56% income rule, minimum plan standards rules, etc. These can also get a bit tricky to understand.

 

[ljubecak]

If they have access to group coverage, they are not eligible for a subsidy.
So, don't include that spouse, don't put in ANY income, apply only for those members that need coverage.

Another scenario for you, if husband / wife situation, and one is on medicare, but you need the household income, include both on App, but answer questions:
"Yes" - applying for coverage on under 65 spouse.
"No" - applying for coverage on above 65 spouse (but put on app to include household income)

Thank you very much Sir you are a Gentleman.