For the 2019 Plan Year , approximately 95% of your clients will be able to submit applications and enroll directly through HealthSherpa. There are a few exceptions.
Due to guidelines from CMS and Healthcare.gov, the following rare cases cannot be handled by HealthSherpa and must be managed by Healthcare.gov.
American Indian and Alaskan Natives
Applicants with home addresses in a different state than where they are applying for coverage
Applicants with no home address
Applicants who are not planning to file a tax return
Married applicants who are not filing a joint tax return
Applicants responsible for a child 18 or younger who lives with them but is not included on tax return
Applicants who are offered coverage through their job, someone else’s job, or COBRA
Applicants with dependent children who are over 25 or who are married
Applicants with dependent children (under 21) who are not applying for coverage
Applicants with dependent children living with a parent not on their tax return applying for coverage