Over the last couple of years Covered California has been redesigning different parts of their online application to be less confusing to consumers. They have also enhanced sections such as the income portion to help guide consumers in selecting the correct entries. The document upload section is one of the last sections to get a face lift.
Once the document has been uploaded it will show up in the Documents & Correspondence table. You then want to go to the Action column, click on the drop down menu Select One, and select Submit as Verification Document. This will bring up a popup window (make sure you’re the popup blocker of your web browser is disabled) where you can select the household member, the document category, and the type of document being uploaded. Then click Submit.
Covered California has come under pointed criticism from the health insurance companies for their lack of verification of a consumer’s Qualifying Life Event (QLE) for a Special Enrollment Period (SEP). That will change as of August 1, 2016, when Covered California will start a program to randomly sample consumers who have enrolled in health plan outside of Open Enrollment under a QLE. Selected consumers will have to provide verification that they actually do have a QLE that makes them eligible to enroll outside of Open Enrollment such moving into California or the loss of minimum essential coverage like Medi-Cal or employer group coverage.
Health insurance companies are deploying a variety of measures to reduce fraud and abuse such as only accepting paper applications or requiring proof of residency and identity.
Covered California has been sending out a variety of letters notifying consumers that they must send in verification for such items as proof of income, citizenship and Social Security numbers. Unfortunately, these letters are not being reflected in the consumer’s Covered California Documents & Correspondence Summary section. Letters are missing from Summary section To date, […]
On August 4th Covered California rolled out another enhancement to their CalHEERS program called “identity proofing”. Before an account holder, Covered California customer service representative (CSR) or Certified Insurance Agent can either Report a Change or create a new enrollment for a health plan, the primary applicant’s identity must be verified. This “Identity Proofing”, as it […]
Covered California continues to sabotage their customer service operations by sending out confusing eligibility and verification request letters to new applicants of ACA plans. Individuals and families receiving these letters are confused by Covered California informing them what programs and plans they aren’t eligible for, no mention of what they have enrolled in and requests for documentation they have already uploaded to the CalHEERS enrollment website.