HCTC: Information for Health Plan Administrators (HPAs)
Health Plan Administrators (HPAs) are vital to the success of the monthly HCTC program. Your role as an HPA can vary, depending on your level of involvement in helping eligible individuals receive the tax credit. Below you will find information about how you can help individuals receive this important tax credit, including how you can enroll to receive monthly HCTC payments.
Enroll To Receive Monthly HCTC Payments
The monthly HCTC program helps individuals pay their health insurance premium each month. Once registered, HCTC participants will receive a monthly invoice from the HCTC Program for 27.5% of their health insurance premium. The HCTC Program will then add 72.5% and send the full 100% premium to the health plan. However, individuals can only receive the monthly HCTC if their HPA is enrolled to receive monthly payments from the HCTC Program. See How To Enroll to learn about the three easy steps you can take to begin receiving monthly payments from the HCTC Program.
Complete Ongoing Responsibilities
Once you are enrolled to receive monthly payments from the HCTC Program, you will have several responsibilities to ensure accurate and timely payments. See Your Responsibilities for guidance on returning funds, submitting bulk premium changes, and maintaining your banking information.
When individuals register for the monthly HCTC, or claim the yearly HCTC on their federal tax return, they must submit supporting documents (such as a health insurance bill, COBRA Election Letter, or substitute letter that has the same information that a health insurance bill contains) to show they have the insurance they are claiming. As an HPA, you can help these individuals if they request information or documentation from you concerning their health coverage.
Become a State-Qualified Health Plan
State-qualified health plans are specifically designated by a state's Department of Insurance as meeting the requirements of the Trade Act of 2002, the legislation that created the HCTC. An HPA can have its health plan designated as a state-qualified health plan if the plan meets certain additional consumer protections outlined in the Trade Act. HPAs should contact their state Department of Insurance to begin the qualification process. You can learn more by visiting the How to Designate State-Qualified Health Plans page.
To learn more about these types of qualified health insurance, visit the Qualified Health Plans page.
Return to the Health Plan Administrators and State Depts of Insurance page.