In combination with the 2021 ACA Special Enrollment Period, the American Rescue Plan means you have a unique opportunity to enroll new and existing clients in more affordable coverage without a qualifying life event.
Here is some key information on how this newest COVID-19 relief bill impacts ACA enrollments:
- Larger subsidies for 100—400% FPL. Most significantly, enrollees who are within 100—150% FPL are eligible for a $0 premium silver plan with substantial cost-sharing reductions that lower deductibles.
- Expanded APTC eligibility to those above 400% FPL. The new bill caps the percentage of income paid for a Marketplace benchmark silver premium to 8.5%, which makes ACA coverage significantly more affordable for enrollees who traditionally had too high of an income.
- APTC guarantees for enrollees receiving unemployment compensation. If an enrollee is receiving unemployment compensation, they will qualify for subsidies as if their income is 133% FPL. This means these enrollees are eligible for a silver plan with a $0 premium and significant cost-sharing reductions.
- These subsidies are retroactive to January 1st, 2021.
When will this go into effect on HealthSherpa?
It will take some time for these changes to be implemented on the Federal Marketplace, but the HealthSherpa team is hard at work to make sure their platform is ready to reflect these changes when they go live.
How can you capitalize on this anticipated jump in enrollment?
The Congressional Budget Office estimates that these enhanced subsidies will bring 2.5 million new people into the Marketplace by 2023, and in 2022 40% of these are estimated to be 400%+ FPL currently not qualified.
Last Open Enrollment, brokers accounted for 55% of active Marketplace enrollments!
We look forward to helping you grow your ACA business during this exciting time!