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Duties of Exchange - Conn. Gen. Stat. § 38a-1084

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The duties of the Connecticut Health Insurance Exchange include, among others, the following:

  • Reporting the names and taxpayer identification numbers to the Secretary of individuals (1) exempt from the ACA provision that requires individuals to purchase health insurance; (2) eligible for the § 36B premium tax credit because either (a) their employer does not “provide the minimum essential health benefits coverage; or (b) they cannot afford the minimum coverage provided by their employer; (3) that notify the Exchange of that they have changed employers; (4) that end qualified health plan coverage-the Exchange must also must report the date upon which coverage ends.
  • Reporting to an employer the name of an employee that ends coverage under a qualified health plan and the date the coverage ends if the employee is eligible for the § 36B premium tax credit.
  • Awarding grants to Navigators so they may (1) refer enrollees to the Office of the Healthcare Advocate, health insurance ombudsman, or another appropriate state agency for assistance with “a grievance, complaint, or question regarding [their] health benefit plan, coverage, or” a plan or coverage determination; and (2) “provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the exchange.”
  • Ensuring the financial integrity of the Exchange by (1) accurately accounting for all Exchange activities and submitting annual accounting reports to the Governor, General Assembly, and Insurance Commissioner; (2) cooperating with federal investigations of the Exchange; (3) allowing the Secretary or Inspector general to examine Exchange records; (4) complying with any reporting requirements imposed by the Secretary or Inspector General; and (5) avoiding improper use of Exchange funds (e.g. excessive compensation, staff retreats). 


Current as of June 2015