956 CMR, § 12.13 - Right to Appeal
Applicants, Eligible Individuals, Enrollees, and Employers are entitled to appeal the following Appealable Actions:
(1) Any eligibility determination based on
any eligibility factor in accordance with
956 CMR
12.04;
(2) Any determination of APTC amount, or of
ConnectorCare Plan Type;
(3) Any
determination regarding a Special Enrollment Period related to a Non-group
Health Plan based on the reasons listed at
956
CMR 12.10(4)(1) through (f);
or
(4) The Connector's denial of a
financial hardship waiver or reduction of premium, the renewal of a financial
hardship waiver or reduction of premium, or the period of time to which a
financial hardship waiver or reduction of premium applies, under
956 CMR
12.12.
Notes
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