When Open Enrollment ends, people can still apply for health benefits; however, they can only enroll in Health Connector Qualified Health Plan (QHP) coverage if they qualify for a Special Enrollment Period (SEP). If they qualify under the rules of a SEP, they have up to 60 days from the date of the Qualifying Life… Continue Reading Special Enrollment Period (SEP) Rules
Health Connector members that are enrolled in a plan for January but have not yet paid for that coverage are considered delinquent. This may include individuals that lost access to premium tax credits or ConnectorCare coverage for Plan Year 2026 and are enrolled in unsubsidized Health Connector coverage for January. How does the Health Connector… Continue Reading Health Connector Members in Delinquency Status
The Health Connector’s Open Enrollment period is ending Friday, January 23, 2026, and is the deadline for individuals and families to apply, shop, and enroll into a plan that starts on February 1, 2026. The Health Connector Customer Service Call Center will be open for support during the following times: Tuesday, January 20 – Friday,… Continue Reading Health Connector Open Enrollment Ending
Ending of ConnectorCare Plan Type 1 Effective January 1, 2026, the Health Connector’s ConnectorCare Plan Type 1 will no longer be available as a coverage option because of federal policy changes. Those previously eligible and enrolled ConnectorCare Plan Type 1 members will no longer be eligible for help paying for their coverage. Many people, because… Continue Reading Ending ConnectorCare Plan Type 1 and How to Help Members Access Services
Open Enrollment for 2026 is the most complex Open Enrollment the Health Connector has had in many years. To ensure our partners remain up to date with the enrollment trends we are seeing, we are pleased to be able to share a new external dashboard. This dashboard helps interested parties have real-time sightlines into Health… Continue Reading NEW: Health Connector Open Enrollment Public Dashboard
The Health Connector has promotional materials, online shopping tools and downloadable member resources – in many languages – to help people make decisions about their health insurance coverage for plan year 2026. Many of the resources described below can be easily accessed from the Health Connector’s renewal page: www.mahealthconnector.org/renew. Help Promote Open Enrollment: The Health Connector’s 2026 Open… Continue Reading Open Enrollment Promotion, Health Connector Shopping Tools and Member Resources
Effective 1/1/2026, the following network changes will be in place for the Tufts Direct plan members. Please note, these changes may not reflect the full scope of provider changes that members may experience in plan year 2026; however, these changes should be considered when helping members shop for a Health Connector plan during this open enrollment… Continue Reading Health Connector Network Updates
Overview Starting January 1, 2026, individuals with income below 100% of the Federal Poverty Level (FPL) will no longer qualify for Advance Premium Tax Credits (APTCs) and ConnectorCare coverage. Impacted members will either qualify for a MassHealth program or be automatically renewed into an unsubsidized Qualified Health Plan (QHP) for 2026. Members enrolled in unsubsidized… Continue Reading AutoPay Cancellation Process: ConnectorCare PT1 in 2025 to Unsubsidized Plans in 2026
Notices for Health Connector Redetermination are Being Mailed! Preliminary Eligibility notices for the Health Connector’s Open Enrollment 2026 are now being sent to members through mid-September. Some members may have already received their notices. These notices tell members about: their estimated 2026 Federal Poverty Level (FPL) their program eligibility based on information that is currently… Continue Reading Health Connector Preliminary Eligibility Notices are Mailing
Health Connector Federal Policy Updates The federal government recently passed a budget reconciliation bill on July 4, 2025. As a result, many Health Connector members will see increases in the cost of their health insurance or changes in their eligibility, access to coverage, or the amount of financial help they’re able to receive. For Plan… Continue Reading Health Connector Federal Policy Updates: ConnectorCare Program Changes
Applicants and members who receive affordable employer-sponsored insurance (ESI) are not eligible for Advanced Premium Tax Credits (APTCs). If an applicant or member is not offered ESI or is offered an unaffordable plan, they may be eligible for APTCs if they meet other eligibility requirements. The Health Connector verifies access to ESI by sending notices… Continue Reading Employee Sponsored Health Insurance Verification Effort
Health Connector Special Enrollment Period Effective Dates System and Process Update: When a member reports a change that opens a Special Enrollment Period (SEP) after the 23rd the month, the online application will now automatically offer an effective date option for the following month. Previously, when a member reported a move on 3/24, the earliest… Continue Reading Updates to Health Connector Special Enrollment Period Effective Dates and Updated Applications
Health Connector Member Tax Forms The Health Connector has completed the mailing of 1095-A tax forms for those members who had coverage in 2024. Mailed forms should be received during the week of February 3rd based on a member’s mailing preference. If a member selected paperless, they will get an email that informs them the 1095-A… Continue Reading Health Connector and MassHealth Tax Forms Mailed
