Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Premium Payment and Issuer Invoices
Program Area: Enrollment and Eligibility (ENR)
Question: Are there any regulatory requirements governing the content of an Issuer's invoice for enrollees in the Individual Market? Do Issuers need to have Total Premium less Advance Payment of the Premium Tax Credit (APTC) amount on the invoices to members or just the amount that the members owe?
Answer: CMS has not issued guidance on premium invoicing. Issuers may consult the draft Enrollment Manual at https://www.regtap.info/reg_librarye.php?i=1761
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 18, 2014
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