Episode Summary
This episode of The Broker Link podcast discussed the CMS's proposed 2025 final rule for the ACA marketplace, aiming to enhance marketplace integrity and consumer protection.
Key points include:
- Strengthening income verification
- Potentially revoking subsidies if documents aren't submitted within 30 days
- Reinstating the requirement for DACA recipients to prove legal presence
- And more!
The rule also targets passive renewals, mandating income verification to maintain subsidies. Additionally, it proposes shortening the open enrollment period to November 1 to December 15 and eliminating SEPs for those below 150% FPL. The rule aims to reduce fraud and improve plan valuations.
Timestamps
00:00 Introduction to ACA Changes
02:52 Income Verification and Subsidy Adjustments
05:53 Eligibility Redetermination Procedures
09:14 DACA and Coverage Eligibility
12:14 Pre-Enrollment Verification and SCPs
14:47 Open Enrollment Period Adjustments
17:56 Future of ACA and Client Support
