Health Plan Markets - Edition 1 Q3 2025

PRST STD US POSTAGE PAID BOISE, ID PERMIT 411

PO Box 162916 Altamonte Springs, FL 32716

844-696-3975 AskHPM.com

Inside This Edition

“Serving Those that Serve Others”

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Power Plays for Peak Producers

A Message to HPM Advisors Boost Your Visibility and Build Your Community ACA Book of Business and Medicare Strategies Essential Events: Engage, Explore, Expand

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ACA News

Coverage Continuity

SUPPORT FOR STRUGGLING INCOMES

Facilitated through the Inflation Reduction Act, the Low-Income Special Enrollment Period (SEP) allows low-income individuals to utilize the Affordable Care Act (ACA) marketplace beyond the traditional Open Enrollment Period. Here are a few of the SEP’s key features, as outlined on HealthInsurance.org: • A year-round enrollment opportunity for individuals with household incomes at or below 150% of the Federal Poverty Level. • Allows eligible individuals to enroll in ACA- compliant health plans outside the standard open enrollment Period. • Available in HealthCare.gov states and many state-based marketplaces. • No requirement for a qualifying life event. • Immediate enrollment with coverage starting the first day of the following month.

Eligibility criteria for the Low-Income SEP income maximum for 2025, as outlined by KFF, include the following:

• 1-person household: $22,590 • 2-person household: $30,660 • 3-person household: $38,730 • 4-person household: $46,800 • Add approximately $8,070 for each additional person.

These additional requirements also apply: • Must be eligible for premium tax credits. • Income estimates are subject to verification; discrepancies may require documentation within 90 days.

For additional information, email us at Support@AskHPM.com.

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