Affordable Care Action Tribal Day of Action – Tuesday, November 3rd

Tribes are encouraged to host an outreach and/or enrollment event for the Affordable Care Act Tribal Day of Action on Tuesday, November 3rd!  A Tribal Day of Action Toolkit is available here.

Open Enrollment: November 1, 2015- January 31, 2016

Individuals eligible for services from an Indian Health Care provider (I.H.S., tribal or urban Indian program) may enroll in health insurance through the Marketplace from November 1, 2015 through January 31, 2016. Enrolled members of federally recognized tribes, including shareholders of Alaska Native Claims Settlement Act (ANCSA) Corporations, are eligible for enrollment on a monthly basis and do not need to wait for the open enrollment period. To learn more about the options available go to www.healthcare.gov, visit a local I.H.S., tribal or urban Indian clinic, or go to localhelp.healthcare.gov.

Enrollment Success Stories

The Indian Health Service Tribal Self-Governance Advisory Committee’s National Indian Health Outreach & Education project has collected success stories on the positive impacts of enrollment of tribal members in the Marketplace. To read these amazing stories, click here.

Exemption Available for American Indians and Alaska Natives from Individual Shared Responsibility Payment

Enrolled members of federally recognized tribes, including shareholders of ANCSA Corporations, and individuals eligible for services from an Indian Health Care provider are eligible to apply for an exemption from the individual shared responsibility payment (penalty) for not having minimum essential coverage by March 31, 2014.  Eligible individuals may apply for an exemption by completing a paper application. American Indians and Alaska Natives who did not claim an exemption on their 2014 tax return or receive an exemption number through the application process, may be subject to an individual shared responsibility payment in 2015 (for 2014 tax year).

Resources for Tribal Employers

Prerecorded National Indian Health Outreach and Education (NIHOE) webinar on the IRS Excise Tax (Cadillac Tax) on High Cost Employer Sponsored Coverage is available here.

Prerecorded NIHOE webinar on Affordable Care Act IRS Information Reporting for Tribal Employers is available here.

Prerecorded IRS webinar on Employer Shared Responsibility Provision is available here.

Prerecorded IRS webinar on Affordable Care Act: Information Reporting by Applicable Large Employers on Employer-Sponsored Health Coverage IRC 6056 is available here.

Prerecorded NIHOE webinar on Federal Employee Health Benefits Program is available here.

Insurance Marketplace Sponsorship Calculator for American Indians and Alaska Natives

Tribes interested in a premium sponsorship program can estimate the costs and benefits of buying insurance using the insurance marketplace sponsorship calculator. A user tutorial provides step-by-step instruction on how to use the calculator. Click here to go to to the marketplace sponsorship calculator.

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