Right to Appeal

Applicants, Eligible Individuals, Enrollees, and Employers are entitled to appeal the following Appealable Actions: (1) Any eligibility determination based on any eligibility factor in accordance with 956 CMR 12.04; (2) Any determination of APTC amount, or of ConnectorCare Plan Type; (3) Any determination regarding a Special Enrollment Period related to a Non-group Health Plan based on the reasons listed at 956 CMR 12.10(4)(1) through (f); or (4) The Connector's denial of a financial hardship waiver or reduction of premium, the renewal of a financial hardship waiver or reduction of premium, or the period of time to which a financial hardship waiver or reduction of premium applies, under 956 CMR 12.12.