Eligibility and Enrollment

• Eligibility Thresholds -  income limits to qualify for public plans and financial help
• Exceptional Circumstances Special Enrollment Period (SEP) Guidance
• Billing, Dunning, Grace Period Policy & Assumptions (updated September, 2017)
• Billing and Enrollment Timeline - describes VHC's policies and processes for billing of initial and ongoing enrollment (update November 2015)
• Transferring Plan Administration to a QHP Issuer - explains direct enrollment outside of open or special enrollment
• Special Enrollment Periods (SEPs) and Plan Administration Transfer for Individual Reflective Silver Plan Enrollees
• Open Enrollment and Qualified Health Plan Renewals for 2021  –  plan for Open Enrollment 2021
   

Plan Management

• 2021 Vermont Issuer Participation Guidance
• Non-Standard QHP Design Approval Process
• Non-Standard QHP Approval Criteria
• 2022 QHP Certification Timeline
• 2021 Qualified Health Plan Certification Timeline - describes the timeline for certification of QHPs for 2021
• Cost Sharing Reduction Calculation Formula

Rules

• Health Benefits Eligibility and Enrollment Rule - the administrative rule governing Vermont Health Connect (also see archive at ESD Rules page)
• Public Charge and Immigration – What You Should Know

Reports

• Reports to the Vermont Legislature - this link directs to the Agency of Administration's Health Care Reform Resource Library

• AHS Reinsurance Paper - preliminary exploration of state-based reinsurance for Vermont

Evaluation

• 2019
  • 2019 VHC - Final CMS Report
  • Vermont Health Insurance Exchange Audit Report
  • VHC 2019 SMART Corrective Action Plan

   

• Questions about these documents? Email us at AHS.VTHealthConnect@vermont.gov