Embedded Files
Use these resources to enhance your knowledge and understand of policy related to the Marketplace, eligibility for health coverage programs and financial assistance, and more.
Searchable FAQ Resources
These pages contain many frequently asked questions about health insurance, the Marketplace, and the ACA. Assisters will be able to find answers to many questions.
Background Info, Training Resources, & Ways to Get Your Questions Answered
In the Loop was an online community where people engaged in helping individuals enroll in health insurance could interact with others doing similar work. In the Loop was active from October 2013 - May 2019. Some of the resources created by In the Loop are still available.
Federal Poverty Level (FPL) Guidelines
General Go-To Resources for ACA and Marketplace Questions
Specific Topics
Financial Assistance: Premium Tax Credits
Eligibility for Premium Tax Credits
Factsheet: Advanced Premium Tax Credits*
Image: How to Calculate the PTC
Reconciling Premium Tax Credits
Employer Coverage and the Family Glitch
Financial Assistance: Cost-Sharing Reductions
Factsheet: Cost-Sharing Reductions*
Marketplace Household Size & Income
Special Enrollment Periods
Qualifying Life Events and Eligibility
Chart: SEP Reference Chart
Factsheet: Special Enrollment Periods*
Exemptions from the Individual Mandate
Beginning with the 2019 Coverage Year, the individual mandate penalty was "zeroed out." Beginning in 2019, individuals who are uninsured are no longer required to qualify for an exemption or pay a penalty.
Background Information on Eligibility for Exemptions
List of All Exemptions: HealthCare.gov
HealthCare.gov Exemptions Screener
Forms to Help Consumers Claim Exemptions
Form 8965 and Form 8965 Instructions (Exemptions)
Links to Exemption Application Forms
*To view these materials, you must create an account with In the Loop.
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