[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-detail-302430-en":53,"doc-seo-302430-105":75},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":5,"data":54},{"doc_id":55,"user_id":56,"nickname":57,"user_avatar":58,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":60,"doc_content":61,"file_id":62,"file_url":63,"file_type":64,"file_size":65,"view_count":66,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":67,"language_code":68,"site_id":69,"html_lang":68,"table_of_contents":70,"faqs":71,"seo_title":72,"seo_description":60,"update_tm":73,"read_time":74},302430,8796095027276,"wps_ap_test_251126_0180","https://avatar.qwps.com/avatar/d3BzX2FwX3Rlc3RfMjUxMTI2XzAxODA=","DECISION OF MNSURE BOARD ON APPEAL","DECISION OF MNSURE BOARD ON APPEAL addresses an eligibility-related dispute regarding a Qualified Health Plan. The issue concerns whether MNsure correctly set the plan’s termination date as November 30, 2019. After a telephone evidentiary hearing and review of the record, the Human Services Judge recommends affirming MNsure’s determination, concluding the termination cannot be set earlier because the enrollee did not request MNsure termination. The Board adopts the recommendation as final unless further action is taken.","Appellant:   \nFor: Qualified Health Plan  \nAgency: MNsure Board  \nDocket: 236542  \nDECISION OF MNSURE BOARD ON APPEAL  \nOn July 30, 2020, Human Services Judge Nicole Kralik held a hearing under 42 United States Code, section 18081(f), Minnesota Statutes, section 62V.05, subdivision 6, and Minnesota Rules, part 7700.0105. 1  \nThe following person appeared at the hearing:  \n , Appellant  \nThe Human Services Judge, based on the evidence in the record and considering the arguments of the parties, recommends the following Findings of Fact, Conclusions of Law, and Order.  \n1 The MNsure Board contracts with the Department of Human Services for its Appeals Division to conduct hearings and issue decisions regarding disputes involving MNsure determinations in accordance with Minnesota Statutes, section 62V.05, subdivision 6, and Minnesota Rules, part 7700.0105.  \nSTATEMENT OF ISSUES  \nThe issue raised in this appeal is: Whether MNsure correctly determined that the termination date of Appellant’s qualified health plan is November 30, 2019.  \nRecommended Decision: Yes.  \nPROCEDURAL HISTORY  \n1. On June 10, 2020, the Appellant filed an appeal. Exhibit 1.  \n2. On July 30, 2020, the Human Services Judge held an evidentiary hearing on the matter by telephone conference. At the conclusion of the hearing, the record closed consisting of the hearing testimony and two exhibits. 2  \nFINDINGS OF FACT  \n1. Appellant was enrolled in a qualified health plan (QHP) in 2018. Exhibit 2. On October 5, 2018, MNsure processed Appellant’s annual health care renewal. Id. Appellant was determined eligible for a qualified health plan (QHP) with advanced premium tax credits on the the same date. Id. Appellant was reenrolled in the same plan with a tax credit of $211.56 per month effective January 1, 2019. Id.  \n2. On September 19, 2019, Appellant called his insurance carrier to request termination. Exhibit 2. The insurance carrier informed Appellant that he must call MNsure to terminate his coverage. Appellant Testimony; Id.  \n3. On October 9, 2019, Appellant’s annual health care renewal was processed for 2020 coverage. Exhibit 2. Appellant was determined eligible for a QHP in 2020. Id.  \n4. On November 30, 2019, Appellant’s insurance carrier terminated Appellant’s QHP for non-payment. Exhibit 2.  \n5. On March 13, 2020, May 27, 2020, and July 13, 2020, Appellant called MNsure to ask that his 1095A tax form reflect that his QHP coverage ended July 31, 2019. Exhibit 2. MNsure determined that Appellant’s QHP coverage ended November 30, 2019 when it was cancelled for non-payment. Id.  \n2 Exhibit 1: Appellant’s request for appeal; Exhibit 2: MNsure’s appeal summary and attachments.  \nARGUMENTS OF PARTIES  \n1. Appellant argues that the QHP should be terminated effective July 31, 2019 because Appellant became eligible for Medicare on August 1, 2019. Appellant Testimony. Appellant assumed that his coverage would automatically end when he became eligible for Medicare. Id. Appellant acknowledges that he called the carrier on September 19, 2019 to ask for termination and they told him to call MNsure. Id.  \n2. MNsure argues that the QHP cannot be terminated retroactively to July 31, 2019. Exhibit 2.  \nAPPLICABLE LAW  \n1. The MNsure Board has jurisdiction over health care eligibility appeals involving matters listed in Minnesota Rules, part 7700 .0105, subpart 1. An appeal of an adverse decision by MNsure must be received within 90 days from the date of the notice of eligibility determination. Minn. R. 7700.0105, subp. 2.  \n2. When a person who has enrolled in a Qualified Health Plan elects to terminate coverage, the termination date is the date specified by the enrollee, if the enrollee provides reasonable notice. 45 C.F.R. §155.430(d)(2). If reasonable notice is not provided, then the termination date is fourteen days after termination is requested by the enrollee. 45 C.F.R.  \n§155.430(d)(2)(ii). If the enrollee and insurance carrier agree, coverage may be terminated with f","cbCaimhxscmzFDIR","https://ap.wps.com/l/cbCaimhxscmzFDIR","pdf",332792,4,"English","en",105,"# Statement of Issues\n# Procedural History\n# Findings of Fact\n# Arguments of Parties\n# Applicable Law\n# Conclusions of Law\n# Recommended Order\n# Order\n# Further Appeal Rights","[{\"question\":\"What issue was raised in the MNsure appeal?\",\"answer\":\"Whether MNsure correctly determined the termination date of the appellant’s Qualified Health Plan as November 30, 2019.\"},{\"question\":\"Why did the decision not allow an earlier termination date?\",\"answer\":\"The decision concludes the plan could not be terminated before November 30, 2019 because the appellant did not request MNsure to terminate the plan, and eligibility for another coverage type did not automatically end the QHP.\"},{\"question\":\"Is the MNsure Board decision final?\",\"answer\":\"Yes. The decision is final unless further action is taken, such as requesting reconsideration and stating the reasons for reconsideration.\"}]","DECISION OF MNSURE BOARD ON APPEAL | PDF",1789792834,2,{"code":4,"msg":76,"data":77},"ok",{"site_id":69,"language":68,"slug":78,"title":59,"keywords":79,"description":60,"schema_data":80,"social_meta":134,"head_meta":136,"extra_data":138,"updated_unix":139},"decision-of-mnsure-board-on-appeal","",{"@graph":81,"@context":133},[82,96,116],{"@type":83,"itemListElement":84},"BreadcrumbList",[85,89,91,94],{"item":86,"name":87,"@type":88,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":90,"name":10,"@type":88,"position":74},"https://docshare.wps.com/template/",{"item":92,"name":41,"@type":88,"position":93},"https://docshare.wps.com/template/letters/",3,{"item":95,"name":59,"@type":88,"position":66},"https://docshare.wps.com/template/decision-of-mnsure-board-on-appeal/302430/",{"url":95,"name":59,"@type":97,"image":98,"author":103,"headline":59,"publisher":105,"fileFormat":108,"inLanguage":68,"description":60,"dateModified":109,"datePublished":110,"encodingFormat":108,"isAccessibleForFree":111,"interactionStatistic":112},"DigitalDocument",{"url":99,"@type":100,"width":101,"height":102},"https://docshare.wps.com/thumbnails/decision-of-mnsure-board-on-appeal/302430.png","ImageObject",442,249,{"name":57,"@type":104},"Person",{"url":86,"name":106,"@type":107},"DocShare","Organization","application/pdf","2026-09-27","2026-09-19",true,{"@type":113,"interactionType":114,"userInteractionCount":66},"InteractionCounter",{"@type":115},"ViewAction",{"@type":117,"mainEntity":118},"FAQPage",[119,125,129],{"name":120,"@type":121,"acceptedAnswer":122},"What issue was raised in the MNsure appeal?","Question",{"text":123,"@type":124},"Whether MNsure correctly determined the termination date of the appellant’s Qualified Health Plan as November 30, 2019.","Answer",{"name":126,"@type":121,"acceptedAnswer":127},"Why did the decision not allow an earlier termination date?",{"text":128,"@type":124},"The decision concludes the plan could not be terminated before November 30, 2019 because the appellant did not request MNsure to terminate the plan, and eligibility for another coverage type did not automatically end the QHP.",{"name":130,"@type":121,"acceptedAnswer":131},"Is the MNsure Board decision final?",{"text":132,"@type":124},"Yes. The decision is final unless further action is taken, such as requesting reconsideration and stating the reasons for reconsideration.","https://schema.org",{"og:url":95,"og:type":135,"og:title":59,"og:site_name":106,"og:description":60},"article",{"robots":137,"canonical":95},"index,follow",{"doc_id":55,"site_id":69},1790326644]