Code of Massachusetts Regulations
956 CMR - COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY
Title 956 CMR 12.00 - Eligibility, Enrollment, and Hearing Process for Connector Programs
Section 12.13 - Right to Appeal

Universal Citation: 956 MA Code of Regs 956.12

Current through Register 1531, September 27, 2024

Applicants, Eligible Individuals, Enrollees, and Employers are entitled to appeal the following Appealable Actions:

(1) Any eligibility determination based on any eligibility factor in accordance with 956 CMR 12.04;

(2) Any determination of APTC amount, or of ConnectorCare Plan Type;

(3) Any determination regarding a Special Enrollment Period related to a Non-group Health Plan based on the reasons listed at 956 CMR 12.10(4)(1) through (f); or

(4) The Connector's denial of a financial hardship waiver or reduction of premium, the renewal of a financial hardship waiver or reduction of premium, or the period of time to which a financial hardship waiver or reduction of premium applies, under 956 CMR 12.12.

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