Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Enrollment and Initial
Program Area: Enrollment and Eligibility (ENR)
Question: What is the distinction between on-Marketplace and off-Marketplace plans?
Answer: If CMS has not registered an Issuer as a Qualified Health Plan (QHP) Issuer in the Health Insurance Marketplace, then that Issuer is an off-Marketplace or non-Marketplace Issuer. Additionally, a registered QHP Issuer may offer both Marketplace and non-Marketplace products to enrollees. However, the QHP Issuer must display the non-Marketplace products in a separate section that does not include information on Direct Enrollment or Plan Compare. Even if the QHP is not registered as being offered off-Marketplace, it must be available to individuals who request it off-Marketplace although it does not have to be marketed off-Marketplace.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 27, 2014
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