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Health Insurance Marketplace 

 

Health Insurance Marketplace Open Enrollment Period Ends

The Open Enrollment Period for the Health Insurance Marketplace closed on March 31, 2014. However, if you started your enrollment during the Marketplace Open Enrollment Period but were unable to finish before the deadline because you had issues, you will be able to finish your Marketplace enrollment. This is also called being “in line” to enroll in coverage. You should complete the enrollment process by April 15 and pay your first month’s premium by the deadline set by your insurance company for your coverage to begin on May 1. More information is available at www.getcoveredillinois.gov.
 
Remember, Medicaid applications are accepted all year. However, if you end up being denied Medicaid, you will only be able to enroll in Marketplace coverage through a Special Enrollment Period if you submitted your application for coverage by March 31 or were “in line” by March 31. If you continue to experience problems enrolling in a plan, you should contact the Marketplace Call Center at 1-800-318-2596 (TTY 1-855-889-4325). Be sure to keep a record of the issues you are facing and tell the Marketplace about them. The Marketplace Call Center may be able to give you a Special Enrollment Period of 60 days to allow you to enroll in a plan, when the issue is resolved.

You can also click here to find a specially trained Navigator in your community, who can help you finish the enrollment process for free or call the Get Covered Illinois Help Desk at (866) 311-1119 to find out more information about your options over the phone.

A list of the Illinois Marketplace team is available here. 

In-Person Counselor Program (IPC) Grant Program

The Department of Public Health released a request for applications for the In-Person Counselor Grant Program for 2014-2015. Information on grant awards will be available in the fall of 2014. Information on all consumer assistance programs is available here.

Illinois Producer Tool Box

Information and resources for Producers in Illinois is now available. Please view our Producer Tool Box here

Essential Health Benefits

An important component of the Health Benefits Exchange planning process was the identification of the Essential Health Benefits (EHB) that will be included in all plans sold inside and outside of the exchange. The state of Illinois has recommended an EHB benchmark plan to the federal government and awaits approval from the Secretary of the Department of Health and Human Services. 

Illinois State Partnership Blueprint Application

On November 16, 2012 the state of Illinois submitted a Blueprint Application to the federal government. The Blueprint is meant to be an evolving, procedural document that details the workflow within and between agencies of state government related to implementation of the exchange during our partnership year. As the partnership progresses and the state of Illinois continues to work towards a state-based exchange, the document will be amended. The state also submitted a Declaration Letter as required by the federal government that is available here.

Illinois Health Benefits Exchange Law

On July 14, 2011, Governor Quinn signed Public Act 97-0142, the Illinois Health Benefits Exchange Law. This legislation, effective immediately, enables Illinois to establish its own health insurance exchange for individuals and businesses with 50 or fewer employees. Additional legislation to establish governance and financing structure of the Exchange in Illinois is currently being assessed in the Illinois General Assembly.

The Illinois Health Benefits Exchange Law also called for the creation of a 12-member Legislative Study Committee. This Committee was charged with issuing a report to the General Assembly and the Governor on the establishment of the Illinois Health Benefits Exchange. The final report was issued on October 18, 2011.

Fact Sheets

ACA Fact Sheet
Illinois Marketplace Small Business and the ACA Fact Sheet
Health Insurance Plans and the Marketplace

Federal Planning and Establishment Grants

Illinois has been awarded the following grants by HHS to assist in planning and implementing the health insurance exchange in Illinois.

Exchange Planning Grant
· Illinois Application
· Quarter 1 Grant Report to HHS
· Quarter 2 Grant Report to HHS
· Quarter 3 Grant Report to HHS
· Quarter 4 Grant Report to HHS

Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges
· Illinois Level 1 Exchange Establishment Grant Application - Project Narrative
· Illinois Level 1 Exchange Establishment Grant Application - Work plan and Timeline
**NOTE: This work plan and timeline is an evolving document that will continue to be modified over time as the State's planning shifts with emerging needs.

Exchange Level 1 Phase 3 Project Narrative - April 8, 2013

Related Materials

Illinois Department of Insurance
Department of Insurance Webinar on Health Insurance Exchange
Comments on the Health Benefits Exchange
Proposed Governance and Financing
Illinois Exchange Strategic and Operational Needs Assessment
· Report
· Appendices
Review of the Current Illinois Health Coverage Marketplace: Background Research Report
Eligibility System Assessment
Illinois Exchange Declaration Letter
Illinois Exchange Financing Options Report
Illinois Risk Adjustment and Reinsurance Workplan
Illinois Health Insurance Marketplace Outreach and Education Plan
Marketplace Marketing and Outreach Campaign Request for Proposals
National Association of Insurance Commissioners (NAIC) Glossary of Insurance Terms
ICCB Navigator Workforce Presentation Slides
ICCB Navigator Workforce Webinar
Marketplace Insurance Plans Press Release 2013
Marketplace Insurance Plans Press Release 2014

Additional Resources

Healthcare.gov: The “Find Insurance Options” section helps individuals who are looking for insurance now sort through options.Kaiser Family Foundation: Check out the “Exchange Monitor” and see how other states are moving forward with exchange planning.