Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Direct Enrollment and My Account
Program Area: Enrollment and Eligibility (ENR)
Question: What are the demographic changes that a direct enrollment Issuer would be permitted to make for an enrollee?
Answer: Enrollees can contact the QHP issuer to make changes and/or corrections to certain data that do not affect eligibility for coverage in a QHP or eligibility for APTC/CSRs. QHP issuers are permitted to implement those changes within their own systems as necessary. For additional information please see the Changes to Enrollment Data Authorized for Issuers document located on Regtap: https://www.regtap.info/uploads/library/Changes_Authorized_for_Issuers_v4_5CR_010714.pdf
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 27, 2014
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