On occasion, a person may not agree with a particular decision they receive from MNsure. These can be decisions about:
You can file an appeal to ask for a fair review of your case. MNsure has set up an appeals process to give you that fair review.
Attention employers: Employers who receive a shared responsibility notice have the right to appeal the employee's advanced premium tax credit (APTC) eligibility determination with The Department of Health & Human Services Marketplace Appeals Center.
It is your right to appeal if you feel that MNsure has made an incorrect decision or action about your application. MNsure will not retaliate against or penalize consumers for filing an appeal.
Did you know many issues can be resolved without going through the appeal process?
Consider speaking with a MNsure specialist before filing an appeal for a faster resolution. Specialists can provide options for updating your application, changing your enrollment or reviewing your case. Call our Contact Center at 651-539-2099 (855-366-7873 outside the Twin Cities) for further assistance.
Do you have questions about your enrollment or want to end your private health insurance?
You can review your enrollment information from your enrollment dashboard or cancel or disenroll all members from a plan.
Do any of the following to start an appeal. Be sure to sign and date the form before you submit it.
Once you start an appeal, we will send you messages to let you know how it is progressing. You will get notices about where and when your hearing will take place. You may use our online help tool to request the status of your appeal.
Timing is very important:
Once you have filed your appeal, it may take up to 90 days for MNsure to conduct the appeal process and issue a decision.
You do not need a lawyer to appeal, but you may have one. You can represent yourself at your appeal. You can also be represented by a relative, friend or other person, but you must be present.
You will get a decision in writing when the appeal is complete.
Complete procedural rules for MNsure appeals can be found at: Minnesota Rules, Parts 7700.0100 - 7700.0105.
Please also see frequently asked questions (FAQ) about appeals.