Insurance Exchanges

This paper focuses on states' roles in implementation of FFEs. We start by providing an overview of recent regulations issued by CCIIO that describes the possible roles both for states and the federal government in the FFEs. We then provide in-depth descriptions of each of the specific FFE options as implemented in three states-Alabama, Michigan, and Virginia-with an eye to each state's role in developing mechanisms to carry out their new responsibilities and progress in creating relationships with the federal government in order to ensure successful implementation of the three types of federally facilitated exchanges.

The ACA includes Small Business Health Options Programs (SHOP) exchanges, intended to provide administrative relief and affordable coverage options to small employers across the country. This paper provides an overview of SHOP exchange development in six states. The six state based exchanges studied are all intending to offer employee choice in 2014 and report an encouraging amount of carrier interest. State contacts note that employer education is one of the major challenges they face, and outreach efforts to small businesses are just beginning.

 Access Health CT released a draft of its navigator and in-person assistor training course syllabus.

This module’s primary purpose is to act as a pre-requisite training to the enrollment assistance trainings required for Community Partner Employees to become certified Application Assisters by Cover Oregon.

This report outlines the required minimum functions of exchanges, and explains how exchanges are expected to be established and administered under ACA. The coverage offered through exchanges is discussed, and it provides detail on how individuals will qualify for federal tax credits. The report concludes with a discussion of how exchanges will interact with selected other ACA provisions.