If your eligibility notice indicates that you need to confirm that you do not have Non-ESI Minimum Essential Coverage, it means that according to Pennie data sources, you are enrolled in health coverage from a source other than an employer, including Medicare, Medicaid, or the military. If you are not enrolled in another form of health coverage, you need to submit documentation to Pennie to ensure you can maintain or enroll in marketplace coverage.
Because data from these organizations can be out of date or the coverage might not meet the criteria of minimum essential coverage, Pennie gives you an opportunity to submit documentation to explain the situation. You have 90 days to submit this documentation. In the meantime, you can select a plan and enroll. If you do not submit the documentation within the 90 day period, your coverage or subsidy may be terminated.
You can submit the following documents to confirm that you are not enrolled in other coverage:
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Do you need to verify… |
Then, send us one of the following documents: |
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No qualifying health coverage through Medicaid or CHIP |
· Letter or statement from a Medicaid or CHIP agency that shows that you or your family members aren’t enrolled in or eligible for Medicaid or CHIP · Letter or statement from a Medicaid agency showing that you or a family member are enrolled in a Medicaid program that’s not considered qualifying health coverage · "You can find more detailed information about Medicaid programs that don’t provide qualifying coverage. If you send document(s) verifying enrollment in one of these programs, you may be able to continue your financial help for your Marketplace coverage: o Medicaid coverage only for pregnancy-related services o Medicaid coverage only for family planning services o Medicaid coverage only for tuberculosis coverage o Medicaid coverage only for emergency treatment o Medicaid Demonstration Projects that cover a limited range of benefits o Medicaid coverage for “medically needy” individuals whose income is too high for traditional Medicaid and cover a limited range of benefits. These programs are sometimes known as “Share of Cost” or “Spend Down” programs." · "A letter describing your recent health coverage including: o The name of the Medicaid/CHIP program you were enrolled in and when your coverage ended, or o That you were never enrolled in Medicaid/CHIP coverage, or o The name of the Medicaid/CHIP program with limited benefits that you’re enrolled in that would still allow you to enroll in the Marketplace with help paying for coverage" |
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No qualifying health coverage through Medicare |
· “Letter or statement from Medicare or the Social Security Administration stating that you or your family members are: o Not eligible for or enrolled in premium-free Medicare Part A. o Eligible for (but not enrolled in) Part A coverage that requires premium payments. Important: A Social Security document that shows you don’t pay a premium for “Medical Insurance” refers to Part B. It’s not acceptable for verifying eligibility for Part A. o No longer eligible for Social Security Disability Insurance (SSDI) benefits, and your coverage has ended or will end in the next 90 days.” |
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No qualifying health coverage through TRICARE |
· Letter or statement from TRICARE that shows the expiration or un-enrollment date of previous health coverage · Letter or statement from TRICARE that confirms ineligibility for health coverage · Letter, statement, or other document indicating a life change event (like divorce) that would make you or a family member ineligible for TRICARE coverage · "Letter or statement from TRICARE or other government agency showing that you or a family member are enrolled in a TRICARE program that’s not considered qualifying health coverage. If you send document(s) verifying enrollment in one of these programs, you may be able to continue your Marketplace coverage with help paying for coverage: o TRICARE Plus o Direct care o Line-of-duty care o Transitional care for service-related conditions o TRICARE coverage limited to space-available care in a facility of the uniformed services for individuals excluded from TRICARE coverage for care from private sector providers." |
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No qualifying health coverage through Veterans Affairs |
· Letter from the VA that shows the expiration date of previous health coverage |
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No qualifying health coverage through the Peace Corps |
· Letter from the Peace Corps with the expiration date for any previous health coverage or a letter showing that you never had this type of coverage |