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Guide to Reporting Loss of Health Care Coverage Online

This guide is for MNsure-certified brokers, navigators and certified application counselors (CACs) to help consumers report a loss of health care coverage using MNsure’s online reporting forms. Loss of health care coverage includes loss of employer-sponsored insurance or loss of minimal essential coverage (also known as ESI and MEC).

Considerations

  • Loss of ESI/MEC can be reported up to 60 days in advance of the event occurring.
  • Will the consumer’s current income and projected annual income (PAI) be impacted as well? If so, an income change should be reported.
    • If an income change is required, both changes should be reported by calling the ARC or Broker Line.

Getting Started

After you register to report changes online, log in and choose the Loss of Health Care Coverage topic.

health care loss topic

Enter the first and last name of the consumer experiencing the loss of coverage (which may or may not be the person reporting the change). Click “Continue.”

In the next section, for the relationship information:

If the consumer experiencing the loss of coverage is the same person reporting the change, “Self” will be automatically selected for the relationship field, and the name and date of birth fields will be completed.

reporting as self

If the consumer experiencing the change is NOT the person reporting the change, then the relationship of the person reporting the change will be automatically selected. The example below shows the consumer’s spouse as the person reporting the change to you, the assister.

spouse reporting shown in relationship field

Complete the next section to include the consumer’s residential address information.

Questions about the Coverage being Lost

The next section asks if the insurance coverage that is being lost was sponsored or offered through the consumer’s employer.

  • If yes, the date on which the insurance ended must be entered.
  • If no, the following questions must be answered about previous coverage and other members of the household:
    • What type of insurance benefit was the consumer receiving? (An option from the drop-down list must be selected.)
    • Is the consumer covered under the adult category of Medicare?
    • Date on which the insurance ended.
    • Does this apply to others in the consumer’s tax household?

Submit the Change

You can use the comment field to provide clarifying information. However, all the required fields of the form MUST be completed in order for MNsure to process the change. Do not use the comment field to try to report health coverage loss information.

Once the change has been submitted, a confirmation email will be sent to the email address you (the assister) used when registering to use the online change report forms.

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