skip to content
Primary navigation

Scenarios

QHP-Eligible

Standard Renewal: Consumers who are re-determined eligible for a qualified health plan (QHP) in the coming coverage year. Notice: Health Care Eligibility Renewal Notice.

Renewal with No APTC: Consumers who are re-determined eligible for a QHP in the coming coverage year but do not qualify for APTC due to various reasons. Notice: Health Care Eligibility Renewal Notice (with FTI language.)

QHP to Public Program: Consumers whose QHP eligibility cannot be automatically updated because they are projected to be eligible for Medical Assistance or MinnesotaCare. Notice: Health Care Renewal Notice.

No Eligibility: Consumers is currently enrolled in a health insurance plan through MNsure but does not have Insurance Assisted (IA) or unassisted QHP (UQHP) eligibility for the next coverage year. Notice: No Eligibility Cover Letter.

Consumers whose QHP eligibility did not automatically update require follow-up by MNsure or DHS and in some cases, documentation from the consumer. Once the follow-up is completed a Manual Renewal Eligibility Notice will generate.

Enrolled in QHP: Consumer household is notified they will be enrolled in for the coming coverage year. Notice: Plan Enrollment Confirmation Notice.

Public-Program Eligible

Household Eligible for MA and/or MinnesotaCare: These consumers will get notified by the Department of Human Services (DHS) when their renewal is up, and the steps to take to renew their membership.

Need to Renew Notice (NTR) October 2019 - Future

Mixed-Eligibility Households

Members of mixed-eligibility households may have different renewal dates based on their type of coverage. As a result they will get separate renewal documents from both MNsure and DHS which may come at different times of the year.

For example: Adults in the household are QHP-eligible and are re-determined to be QHP-eligible during MNsure’s renewal period. They will fall under the Standard Renewal scenario and receive the Health Care Eligibility Renewal Notice. The child in the case is MA-eligible and will fall under the public-program-eligible scenario, and be notified by DHS when their renewal is up and the steps to take to renew their membership.

TIP: look for the agency logo on the notice to quickly identify the servicing agency for the renewal.

back to top