Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 17, 2016

Program Area: Enrollment and Eligibility (ENR)

Question: How should the Federally-facilitated Marketplace/Marketplace Qualified Health Plan (QHP) issuers direct Unaffiliated Issuer Enrollments (UIE) consumers who are missing their Form 1095-A?

Answer: If a consumer is missing his or her Form 1095-A, QHP issuers should direct the consumer to call the Marketplace Call Center to request their form. When consumer call the Marketplace Call Center, the Call Center Representative (CCR) will open a Health Insurance Casework System (HICS) case, and triage it to Cognosante for research. When Cognosante has concluded research, the FFM will: 1. Update incorrect information, when appropriate 2. Print and mail a Form 1095-A to the consumer with a special UIE cover letter

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