Experts Question Proposed ACA Auto-Reenrollment Tweaks

The 2021 Proposed Notice of Benefit and Payment Parameters (NBPP) — which CMS released on Jan. 31 after insurers grew increasingly impatient to see the annual Affordable Care Act exchange regulations (HPW 2/3/20, p. 4) — suggests a change to the automatic reenrollment process that some experts worry will be a big problem for certain near-poor enrollees.

Under the ACA, exchange plan enrollees are typically automatically reenrolled in their current plan (or a similar plan if it’s no longer available) during each open enrollment period if they fail to notify the exchange of any eligibility change — like a higher income — or don’t actively select or disenroll from a plan.

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