Here is One I Cant Get Answered...

[kahlestyle]

guy loses his job after open enrollment
qualifing event? probably
but no income now and into the future
subsidy eligible?, medicaid?, outside exchange only?,

can you estimate magi up for rest of the year to avoid
medicaid and be eligible for subsidy?

 

[taterpeeler]

Yes yes yes..........

 

[AllenChicago]

Yes yes yes..........

Right Taterpeeler. He'd qualify for a S.E. with the M.A.G.I. estimate subject to I.R.S. clawback if H.G.I.Wrong.

 

[Yagents]

H.G.I.? Does that stand for His Guess-timated Income?

 

[AllenChicago]

H.G.I.? Does that stand for His Guess-timated Income?

Yep. He Guesses It Wrong.

 

[Dave020]

I thought I read somewhere that he can't get a SEP in this example until he exhausts COBRA first. The way I recall it, like HIPAA now, if continuation available, no SEP.

 

[Ann H]

Yes, he would get a clawback if He Guesses It wrong. But if his income is low, the clawback is capped at $600. The BASIC plan (that was delayed until 2015) was intended to cushion this effect of people who go back and forth between Medicaid and Low-Income Subsidized Obamacare.

To answer the OP's question, yes you can estimate the MAGI for the rest of the year to see if he is subsidy eligible or Medicaid eligible.

 

[Yagents]

Dave, I believe I read the same thing somewhere, but I remember it saying that if they elect Cobra, they must exhaust it. But if not elected, the first trigger is the loss of the group plan, and is SEP eligible.

In this thread: http://www.insurance-forums.net/for...orum/exchange-training-powerpoint-t51328.html