Applicants and members who receive affordable employer-sponsored insurance (ESI) are not eligible for Advanced Premium Tax Credits (APTCs). If an applicant or member is not offered ESI or is offered an unaffordable plan, they may be eligible for APTCs if they meet other eligibility requirements.
The Health Connector verifies access to ESI by sending notices to employers when a member reports working at least 35 hours/week on their application. Members are also sent a notice when their employer is sent a notice to verify their access to ESI. This notice instructs members to update their accounts with the correct ESI information, if needed. Members must provide updates within three weeks of receiving notice.
The Health Connector will not update a member’s account without their consent. All notices sent to members can be viewed in their Member Portal account.