HCTC Information for Health Plan Administrators |
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Health Plan Administrators (HPAs) play a critical role in the HCTC Program. These roles can vary, depending on your level of involvement in helping eligible individuals receive the tax credit. Find information below about how you can help individuals receive this important tax benefit.
Enroll To Receive Monthly HCTC Payments
The monthly HCTC is a unique feature of the tax credit that allows individuals to receive the HCTC on a monthly basis to help pay health plan premiums as they become due. Under this option, health plans receive a full payment directly from the HCTC Program after the participant pays their portion of the premium to us. Individuals can only receive the monthly HCTC if their health plan is enrolled to receive monthly payments from the HCTC Program. See How To Enroll to learn about the three easy steps you can take to begin receiving monthly payments from the HCTC Program.
Complete Ongoing Responsibilities
Once you are enrolled to receive monthly payments from the HCTC Program, you have several responsibilities to maintain your ongoing relationship with us. See Your Responsibilities for guidance on returning funds, submitting bulk premium changes and maintaining your banking information.
Individuals must prove through official documentation that they have qualified insurance. When individuals apply to receive the monthly HCTC, or claim the yearly HCTC on their federal tax return, they must submit supporting documents (such as a health insurance bill, COBRA elections letter, or substitute letter that has the same information that a health insurance bill contains) to show they have the insurance they are claiming. As an HPA, you can help these individuals should they request information or documentation from you concerning their health coverage.
Become a State-Qualified Health Plan
State-qualified health plans are specifically designated by a state's Department of Insurance as meeting the requirements of the Trade Act of 2002, the legislation that created the HCTC. HPAs can have their health plans designated as a state-qualified health plan if the plans meet certain additional consumer protections. HPAs should contact their state Department of Insurance to begin the qualification process. You can learn more by visiting the How to Designate State-Qualified Health Plans page.
To learn more about these types of qualified health insurance, visit the Qualified Health Plans page.
Return to the HCTC Program home page.
Go to the HCTC Quick References page to view a glossary of terms, FAQs and additional resources.
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Page Last Reviewed or Updated: January 16, 2009