July 8—Health insurance marketplaces may accept consumers’ word that they do not receive employer-sponsored health insurance and may rely more heavily on self-reported household income levels until 2015, when the government anticipates stronger verification systems will be in place, according to a final rule published online Friday.

The final rule, which will appear in the Federal Register on July 15, outlines criteria related to the verification of eligibility for coverage through the health insurance marketplaces. Beginning in calendar year 2014, individuals and small businesses will be able to purchase private health insurance through the marketplaces.

According to the final rule, several of those who commented on the feasibility of implementing systems that could verify eligibility for participation in the marketplaces suggested that alternative approaches be considered for the first year of operations. The new regulations scale back the government’s role in determining whether consumer-reported information is accurate, according to an article in The Washington Post.

The news came three days after the White House announced that mandatory employer coverage requirements will now go into effect in 2015, rather than 2014, to give the Obama administration time to consider ways to simplify the reporting requirements and to test reporting systems in 2014 to support a smoother transition to full implementation in 2015.


Publication Date: Monday, July 08, 2013