When a consumer (or agent or assister on behalf of the consumer) signs the application, they must decide whether to allow Virginia’s Insurance Marketplace (the Marketplace) to rerun their financial eligibility in future years. The maximum amount of time for which they can provide consent is five years. They can consent to allow the Marketplace to rerun their financial eligibility, or they can choose to deny permission to the Marketplace to rerun financial eligibility in future years.
• Important note: if they choose to deny permission to the Marketplace to rerun financial eligibility, they will be auto-reenrolled without any financial assistance. They will have the ability to update their consent choice at any time.
Below, you will find descriptions of two options for consenting, as well as how to choose to deny permission to the Marketplace to rerun eligibility. Both actions are completed on the “Sign and Submit” page of the application.
a. Option one for providing consent to rerun financial eligibility: Select “I agree” on the Sign and Submit page in the application. See below:
Important note: By selecting “I agree”, the consumer is providing consent to allow the Marketplace to rerun financial eligibility for five years. This is the maximum amount of time for which a consumer can provide consent. This selection can be changed at any time by logging back into the application and selecting “I disagree” and providing the required information. If a consumer checks “I agree” on the application, it will automatically revert to “I disagree” with “4 years” on the following year’s application. This means that the Marketplace can rerun financial eligibility for four more years. A year will be subtracted each year that the Marketplace reruns eligibility.
a. Example: If a consumer selected “I agree” on their 2024 application, the Marketplace re-ran the financial eligibility, and the 2025 application will show “I disagree” with “4 years” selected. If no updates are made to the 2025 application on the Sign and Submit page, the Marketplace will rerun financial eligibility at the end of 2025 for PY2026. The 2026 application will show “I disagree” with “3 years” selected. This will continue until five years has passed.
Important note: The selection on the Sign and Submit page must be updated at least every five years. Five years is the maximum amount of time for which a consumer can give consent to allow the Marketplace to rerun financial eligibility
b. Option two for providing consent to rerun financial eligibility: Select “I disagree” on the Sign and Submit page, and then select a period of time for which the consumer will allow the Marketplace to rerun financial eligibility. For example, if a consumer only wants to allow the Marketplace to use their data to rerun financial eligibility for three years, this would be done by selecting “I disagree” and then selecting three years. As with the previous example, the Marketplace will subtract a year each time the financial eligibility is rerun. See below for screenshot:
c. How to indicate that the Marketplace does not have consent to rerun eligibility: If a consumer does not want to allow the Marketplace to rerun eligibility, they should select “I disagree” and then select “I do not give Virginia’s Insurance Marketplace consent to use my income data at renewal”. See below for a screenshot:
Important note: Selecting this option will not stop auto-reenrollment. The consumer will be auto-reenrolled but will not have any financial assistance unless an update is made to the account.
Important note: Updates to the selection can be made at any time by logging in to the consumer’s application, going to the Sign and Submit page, and updating the selection. Agents can act on behalf of the consumer with the consumer’s consent. If a consumer receives an Eligibility Determination indicating that they are not eligible for financial assistance, please check the status of their consent. If they had denied consent to allow the Marketplace to rerun their eligibility using their data, this can be updated, and a new Eligibility Determination notice will be generated with qualifying financial assistance.