Covered CA Notices of Action

CalNOD62A

A cover letter which explains IRS Form 1095-A that is mailed to clients. It also has questions and answers to help clients.

NOD01

Informs and explains the renewal eligibility determination for clients. It is automatically generated in CalHEERS and it contains information for APTC approval or denial and MAGI MC denial on the same notice. An individual who is approved for APTC but denied MAGI MC due to income over the MAGI MC income limit would receive a NOD01. In addition, an individual who is ineligible for APTC and denied MAGI MC due to income over the MAGI MC income limit would also receive a NOD01. The notice includes:

Case number,
Final APTC calculation amount, and
Final program specific eligibility determination for each client.

NOD11

Asks authorization to electronically verify household income with the federal hub. It explains the importance to provide consent to complete the renewal process. This notice includes:

Case number, and
Instructions to complete the process.

NOD12

Informs and explains the renewal process to the clients. It explains the importance to keep health care coverage. This notice includes:

Case number,
APTC amount and plan selection,
Client’s attested income,
Certified agent/entity delegated on application,
Referral to carrier notice for current year rate that will be sent to client,
Instructions to complete the renewal, and
Date by which coverage will be auto-renewed if no action is taken and what happens if the client does not respond.

NOD17

Explains how clients can setup a Covered CA online account to link their application. It provides clients an access code with step-by-step instructions on how to setup an account. This notice includes:

Case number,
Access code, and
Account creation information and instructions to complete the process.

NOD60

Informs and explains the renewal eligibility determination for clients who were auto-renewed through Covered CA. This notice includes:

Case number,
APTC calculation amount,
Gross premium amount,
Net premium amount,
Open Enrollment process if clients prefer to shop around, and
Plan contact information