Eligibility and Enrollment
- Health Program Eligibility Tables
- Eligibility Thresholds - visit the Vermont Health Connect website for income limits to qualify for public plans and financial help.
- Exceptional Circumstances Special Enrollment Period (SEP) Guidance
- Billing, Dunning, Grace Period Policy & Assumptions
- Billing and Enrollment Timeline - policies and processes for billing of initial and ongoing enrollment (update November 2015).
- Transferring Plan Administration to a QHP Issuer - direct enrollment outside of open or special enrollment.
- Special Enrollment Periods (SEPs) and Plan Administration Transfer for Individual Reflective Silver Plan Enrollees
- Open Enrollment and Qualified Health Plan Renewals for 2025 – final plan for Open Enrollment 2025.
Plan Management
- 2026 QHP/QDP Certification Timeline
- EHB Benchmark Plan Process
- State Required Benefits (Vermont)
- VT EHB Benchmark Plan 2022 FWD
- 2024 Vermont Issuer Participation Guidance
- 2022 Vermont Premium Processing Policy & Operations Guidance
- Non-Standard QHP Design Approval Process
- Non-Standard QHP Approval Criteria
- Cost Sharing Reduction Calculation Formula