Pennie Community Workgroup - MS Teams Live Conference Call - Agenda - Open Enrollment Period Overview

Sep 19, 2026

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Agenda and key guidance from a Pennie Community Workgroup MS Teams live conference call (January 12, 2024), focused on 2024 Open Enrollment and related tax and life-event updates. Covers the OE window, enrollment deadlines for coverage starting Feb 1, autorenewal status changes, eligibility application updates, and potential OE extension criteria. Explains life-event reporting during OE and how coverage start dates determine which application year to use. Includes 2023 Form 1095-A actions, APTC reconciliation via Form 8962, and Form 1095-A structure.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages32

Reading Time11 min

AccessFree to download

Today’s Agenda

Open Enrollment Period – what to know the last week

Life Events during Open Enrollment

2023 Form 1095-A

Pennie Community Workgroup January 12, 2024 MS Teams Live Conference Call All attendees' lines are muted All questions can be typed using the Q&A function. Pennie Reps will answer them one-on-one, publish, or audibly address. Today’s Agenda 4 • Open Enrollment Period – what to know the last week • 2023 Form 1095-A • Path to Pennie Refresher – Tax Filer SEP • Special Enrollment Period Refresher • Communications and Advertising PROPRIETARY & CONFIDENTIAL Open Enrollment: What to know for the Last Week 6 2024 Open Enrollment Reminders When is 2024 Open Enrollment? • November 1, 2023 – January 19, 2024 • Because 1/15/2024 is a holiday, Pennie is extending OE through Fri 1/19/2024 for this year only. Enroll by Jan 19th for coverage starting Feb 1st Can customers still be autorenewed? • No. Pennie has completed all autorenewals and catch-up autorenewals. • Any customer not currently enrolled who wants 2024 coverage must enroll before the end of OE. If already autorenewed for 2024, what do customers need to do? • Update eligibility application, including 2024 expected income • Review changes to health plan, shop & compare other plan options • If autorenewed without financial assistance, resubmit application for new eligibility determination Will 2024 OE be extended after 1/19? • If certain high call volume or long wait times occur on 1/19, then OE may be extended up to 1 week (until 1/26) • If these thresholds are met: • All customers will be eligible to shop through the extended OE end date • Coverage effective dates would be 2/1/2024 • Pennie will send email alert to stakeholders & update [pennie.com](pennie.com) about OE extension PROPRIETARY & CONFIDENTIAL Life Events during Open Enrollment 7 • Customers can experience qualifying life events (QLE) at anytime during the year • When reporting a life event during OE, think of what coverage start date you want to shop for • Coverage start date will tell you which plan year’s application to enroll through • For 2023 coverage start date, update 2023 application, report life event, and shop for plan. • For 2024 coverage start date, update the 2024 application. • If shopping on 12/15 or earlier, you can shop for coverage starting 1/1/2024 without reporting life event. • If shopping 12/16 or later, you will be able to report a life event for coverage starting 1/1/2024 (or shop for 2/1/2024 coverage start date without reporting life event) . • Example: If lost Medicaid/CHIP coverage effective 11/30/2023, eligible for 12/1/2023 coverage if shop by late January (i.e. first 60 days of SEP) . To enroll in 2023 retro coverage, submit 2023 application. To enroll in 2024 coverage, submit 2024 application. IMPORTANT: Enrollment changes to 2023 coverage are not automatically made to 2024 coverage. If you want the same change to apply to 2024 coverage, you’ll need to update the 2024 application and enrollment accordingly. For more information on life events during OE, including detailed scenario walkthroughs, see November 2023 Pennie Community Workgroup. PROPRIETARY & CONFIDENTIAL 2023 Form 1095-A Form 1095-A Customers who received APTC in 2023 MUST: 9 • file a federal tax return, and • complete Form 8962 Pennie issues Form 1095-A by January 31st to help customer fill out their tax return. Tax return reconciles APTC received during the year with the premium tax credit the customer is eligible for, based on their actual household income. If received more APTC than PTC they were eligible for… Max. PTC Pay back excess APTC received If received less APTC than APTC Received Max. PTC PTC they were eligible for… Receive remaining PTC on tax return Note: Anyone enrolled in coverage through Pennie may complete Form 8962 to receive a premium tax credit, even if the customer did not apply for or receive APTC. PROPRIETARY & CONFIDENTIAL **Reconciliation of excess

FAQs

What are the 2024 Open Enrollment dates and the last day to enroll for Feb 1 coverage?

2024 Open Enrollment runs from November 1, 2023 to January 19, 2024. Enroll by Jan 19th for coverage starting Feb 1st.

Can customers still be autorenewed for 2024, and what must customers do if they were already autorenewed?

No autorenewals or catch-up autorenewals remain for 2024. Customers already autorenewed must update their eligibility application (including 2024 expected income) and review health plan options; if no financial assistance was used, resubmit for a new eligibility determination.

What actions are required for customers who received APTC in 2023?

Customers who received APTC in 2023 must file a federal tax return and complete Form 8962. Pennie issues Form 1095-A by January 31st to help customers reconcile APTC received with the premium tax credit they are eligible for based on actual household income.

Sep 19, 2026

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