Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Termination and Cancellations
Program Area: Enrollment and Eligibility (ENR)
Question: If the individual changes their mind and does not want to enroll in the Qualified Health Plan (QHP) they chose, even after they've taken all of the steps to enroll, can the QHP stop the enrollment?
Answer: No. The Qualified Health Plan (QHP) cannot "stop" the enrollment. If the individual chooses to make a new selection during a valid enrollment period and before coverage for the original selection begins, s/he can make a new selection via the Federally-facilitated Marketplace (FFM). The FFM will send the new 834 enrollment transaction to the new QHP issuer, and an 834 cancellation to the original issuer. The new issuer will receive a transaction with a new Payment Transaction ID.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 09, 2013
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.