Can I Use Marketplace if Cheapest Plan For Me Is More than 9.56% MAGI?

9.56% Rule Violation due to lower plan not available for out of state worker and if dropping unaffordable healthcare(9.56% rule) is special event.

My company is based in GA but I live and work at a facility in NJ. They offer two types of insurance, Blue Essential, which is exactly 9.56% of my income, and a PPO which is 11%. Blue Essential of BCBSGA appears to only be available for GA residents so obviously had to join the PPO. After looking up quotes, I would save over $110 a month with a silver plan and have better benefits or get a gold plan with the subsidy based on my income. Question is two fold, while the lowest plan available to be is lower than 9.56%, I would not benefit from it since I am in another state, and might outright be ineligible for it, can I then drop my work insurance and get a subsidy based on my income? If then my PPO does violate the 9.56% rule, and I have no cheaper option, does dropping my employer sponsored health insurance trigger a special life changing event allowing me to enroll immediately, or must I wait for open enrollment?

Leave a comment

We'll never share your email with anyone else.

1 2 3 4 5

This site uses Akismet to reduce spam. Learn how your comment data is processed.

ObamaCareFacts is a free informational site. It's privately owned, and is not owned, operated, or endorsed by the US federal government or state governments. Our contributors have over a decade of experience writing about health insurance. However, we do not offer professional official legal, tax, or medical advice. See: Legal Information and Cookie Policy. For more on our company, learn About or Contact us.