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Obama administration demands proof for PPACA special enrollment

The Obama administration is putting its foot down.

By Jack Craver | Updated on February 26, 2016
Photo: AP

After signaling for months that it was going to crack down on abuse of special enrollment periods, the Obama administration announced this week that it would be requiring those signing up for Patient Protection and Affordable Care Act (PPACA) plans to provide proof that they couldn’t sign up during the open enrollment period.

The decision is in response to complaints from insurers that people who have declined to get coverage during the open enrollment period have been signing up for plans only after they get sick by using the special enrollment exemptions. Insurers say that data shows that those who sign up through special enrollment cost more, on average, than other customers. As a result, a number of major insurers have told brokers that they won’t pay commissions for special enrollment customers.

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Jack Craver

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