Verification of eligibility.

Verification of eligibility. For the purpose of verifying employer and employee eligibility, the SHOP
(1) Must verify that an individual applicant is identified by the employer as an employee to whom the qualified employer has offered coverage and must otherwise accept the information attested to within the application unless the information is inconsistent with the employer-provided information;
(2) May establish, in addition to or in lieu of reliance on the application, additional methods to verify the information provided by the applicant on the applicable application;
(3) Must collect only the minimum information necessary for verification of eligibility in accordance with the eligibility standards described in ยง 155.710; and
(4) May not perform individual market Exchange eligibility determinations or verifications described in subpart D of this part.

Source

45 CFR § 155.715


Scoping language

None
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