Healthcare

How to take action if you got a notice saying a person is deceased

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If you recently got a notice addressed to the estate of a person, the Marketplace will automatically take action to remove the person from coverage by the date listed in the notice.

Why did I get this notice?

This person is currently enrolled in a Marketplace plan and our records show that the person is deceased. People who are deceased aren’t eligible for coverage. Their coverage will end on the date listed in the notice.

If the person is deceased

What should I do now?

You don’t need to take any action.

What happens next?

We’ll send you another notice to confirm that their coverage has ended. You’ll get a final Marketplace Tax Form 1095-A next year to use for this person’s federal income tax return.

If the person isn’t deceased

What should I do now?

  1. Call 1-833-889-8500 (TTY: 1-833-885-1855). You’ll be instructed to leave a voicemail with your name, phone number, and the application ID from your notice. Be sure to mention that you got a notice that incorrectly identified a person as deceased.
  2. Contact Social Security to report that this person was identified as deceased by mistake. You can visit socialsecurity.gov, go to your local Social Security office, or call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778).

What happens next?

Once you complete the steps listed above, the Marketplace will contact you for more information.

What if I don’t take any action?

This person’s Marketplace coverage will end on the date listed in the notice. You need to complete the steps listed above to make sure this person stays enrolled in their Marketplace coverage.

What if I disagree with the Marketplace’s decision?

In many cases, you can appeal the Marketplace’s decision about this person’s eligibility for health coverage. If you believe this person’s coverage was ended in error or if you disagree with the Marketplace’s decision, visit the Marketplace Appeals Center for information on how to submit an appeal. The Marketplace Appeals Center can tell you how to proceed with the appeal of the Marketplace’s decision.

Where can I get help?

Call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325).


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