Reporting Life Changes:
Making Changes to a
Marketplace Application
Microlearning Transcript
Making Changes to a Marketplace Application
Let's Get Started
There’s no need to lose sleep over navigating HealthCare.gov to report life changes.
In this module, you’ll help consumers navigate HealthCare.gov as they update their
Marketplace applications.
What You Need to Know
How to Update a HealthCare.gov Account
You should refer to Standard Operating Procedures (SOP) 13 - Update a Marketplace Account
for information on helping consumers report life changes.
Before we get to the scenarios, how prepared are you to help consumers make changes to their
Marketplace applications? Let’s start with a few questions to test your current knowledge.
Where a consumer lives (can/cannot) affect what coverage they’re eligible for.
The correct answer is Can. Where a person lives can affect what coverage they’re eligible for.
Consumers must reside in the state where they’re applying for Marketplace coverage or
Medicaid/Children’s Health Insurance Program (CHIP). Marketplace plans also require enrollees
to be residents of the county where the plan is offered.
Consumers who move to a different county within the state they live in should wait 30 days
before reporting their move to the Marketplace. True or False
False. Consumers must report moves to a different county within 30 days after the move. They
should both update their Marketplace account profile and report a life change on their
Marketplace application. For more information on how to report a move within the same state,
visit HealthCare.gov/reporting-changes/when-you-move.
What You Need to Do
The following scenarios are real-world situations you may encounter when helping consumers
report life changes.
Ramin and Pearl got married two weeks ago. They just bought a house in a different county
within the same state and moved in together. Ramin added Pearl to his Marketplace plan but
forgot to update their home address and mailing address. Let’s help him report this life change.
Once Ramin logs into his Marketplace account, you should help him select his current
application and navigate to the correct screen to report a life change. What option should
Ramin select to report a life change? The correct answer is “Report a life change”.
Select the correct button to help Ramin continue to his Marketplace application, then select the
continue button.
Which selection will allow Ramin to continue to his Marketplace application?
A. Report a change in my household’s income, size, address, or other information
B. Change the way we send information to you, like by email or paper copies
C. Report a move to a new state
The correct answer is A. Remember, Ramin moved within the same state and wants to update
his home address and mailing address, so it would be a change in address.
Assister Tip
Consumers can update their application online, by phone, or with the help of an assister but
not by mail. For more information on how to report changes to the Marketplace, visit
HealthCare.gov/reporting-changes/how-to-report-changes.
After Ramin reviews his personal information, the “Home Address” screen appears.
Note: The application will first ask Ramin to update his address, since he is the application filer,
and then it will ask Pearl to update her address.
Let’s update Ramin’s address with the following information and select the Save & continue
button:
1034 Whitney Lane
Bear, Delaware 19702
Ramin must confirm his new home address. Sometimes the application may display a more
detailed address than the one the consumer enters. Generally, this address is verified by the
U.S. Postal Service (USPS). Consumers should select the USPS record (if it appears to be correct)
so the Marketplace will have their most accurate address.
Next, Ramin needs to confirm his mailing address. His mailing address and home address are
the same, so he should select Yes to confirm his new mailing address.
Note: If Ramin’s mailing address was different than his home address, he would select No on
the mailing address screen. Then, Ramin would need to enter his mailing address and select the
Save & continue button.
Next, let’s help Ramin confirm Pearl’s address.
After Ramin reviews his contact and language preferences, who needs coverage, marital status,
and tax relationships, he needs to update Pearl’s address.
He will review the page and select the correct address for Pearl by selecting the check box next
to 1034 Whitney Lane, Bear, DE 19702. Pearl and Ramin bought a house and moved in
together, so they will have the same home address.
On the “Review everyone’s address” screen, Ramin should confirm his and Pearl’s new address
is correct and select the Save & continue button.
Finally, Ramin will continue through the rest of the application.
When he gets to the “Coverage & changes” section, he should report his and Pearl’s move on
the “Life changes” screen so the Marketplace will evaluate their eligibility for a Special
Enrollment Period (SEP).
When he gets to the “Review & submit” section of the application, he’ll review his information
and confirm that his and Pearl’s new address is listed correctly on the “Review your application”
screen. If he needs to change any information, he can select the Edit hyperlink to the right of
each section. If everything looks okay, he will select Continue.
Now Ramin is ready to sign and submit the updated application to finish reporting the change
in address.
He should read the statement and check the box to agree to it. Then he’ll enter his full name
(Ramin Hein) to electronically sign the application and select the Sign & submit button.
Ramin and Pearl will then receive a new eligibility result, which will indicate that they’re eligible
for an SEP since they moved to a new county and gained access to new Marketplace plans.
Great job helping Ramin and Pearl, but hold on, we’re not done yet!
No matter where consumers move, they must also update their Marketplace account profile
with their new address. If their home address and mailing address are different, they should
update their account profile with their mailing address.
You should advise Ramin to navigate to “My Profile” and select the Edit button next to the
address field.
Congratulations! You have successfully helped Ramin and Pearl.
Let’s help another applicant, named Andrea, who needs to report a change in her income.
On July 1, Andrea accepted a second job at her university science lab to make extra money
while in graduate school.
She currently receives advance payments of the premium tax credit (APTC) but needs to update
her Marketplace application to determine whether she’ll receive the same amount with a
second source of income. Help Andrea report a change in her income.
On the “Report a life change” screen, find and then select the Report a Life Change button to
get started.
Select the correct button to help Andrea report her change in income, then select the Continue
button. The correct button is the “Report a change in my household’s income, size, address or
other information” button.
Now, let’s review Andrea’s income and expenses.
Her primary job at the Science Center is already on her application, so you should help her
select the correct button to add income from her second job.
Andrea’s employer for her second job is the University Science Lab.
Select the correct income type from the dropdown menu, then select the Save & continue
button. The correct income type is “Jobs (like salary, wages, commissions, or tips)”.
Let’s fill out Andrea’s provided income information.
Employer: University Science Lab
Employer phone number: 301-000-3443
Monthly wages: $1,700
Enter this information into the correct fields. When you’ve completed all fields, select the Add
button.
Andrea will select the Save & continue button, and her total expected net income will appear
on this screen.
Based on the information Andrea provided about her second job, how should she answer the
next question?
Andrea should select the button next to Amount will probably be different than this to indicate
her expected yearly income is not correct. When the Marketplace calculates Andrea’s net
income, it assumes the dollar amount Andrea entered for her second job applies to the entire
year. However, Andrea started her second job in July, midway through the year, so the
Marketplace estimate is not correct.
For the next question, “Is Andrea’s income hard to predict?” Andrea can answer “No” since she
knows exactly how much she’ll make from her second job.
Let’s help Andrea calculate her income. The application will ask Andrea to provide the best
estimate of her income for the year she’s applying for coverage.
For July 1 December 31, Andrea thinks she will receive six monthly payments of $1700 for her
second job, which is a total of $10,200. When she adds that to her income from her first job,
her estimated total yearly income is $46,200.
Andrea can also select the Use income calculator button for more help estimating her income
or the Enter monthly amounts button to enter her income for each month.
Let’s enter $46,200 into the blank field then select the Updated estimate button.
Andrea’s estimated income for 2023 is updated. Select the Save & continue button.
Great job helping Andrea report her change in income!
She will need to review and submit the rest of her application to receive a new eligibility result,
which will include updated information about her APTC eligibility.
Remind Andrea that she should update her income if her situation changes.
Good job on those scenarios!
Wrap Up
Congratulations! You have completed Making Changes to a Marketplace Application.
For more information on making changes to a Marketplace application, visit
HealthCare.gov/reporting-changes/why-report-changes.
You have successfully helped two consumers make changes to their Marketplace application.
To work through more reporting life changes scenarios, check out:
Module 3 Terminating a Marketplace Plan
Module 4 Changing Marketplace Plans
Disclaimer: The contents of this training module do not have the force and effect of law and are
not meant to bind the public in any way, unless specifically incorporated into a contract. This
training module is intended only to provide clarity to the public regarding existing requirements
under the law. This communication was printed, published, or produced and disseminated at
U.S. taxpayer expense.