How States Can Use Tax and Unemployment Filings to Sign People Up for Health Insurance

Commonwealth Fund June 20, 2024
Rachel Swindle, Rachel Schwab, Justin Giovannelli

TOPLINES

Easy-enrollment programs offer states an efficient, low-cost mechanism for connecting residents with comprehensive, affordable health care coverage

Maryland has garnered 13,500 new marketplace and Medicaid enrollees through its easy-enrollment program, which uses tax and unemployment filings to sign people up for health insurance

This spring, as millions of people prepared their taxes, an increasing number of states were using the tax-filing process to connect those who are eligible but uninsured with comprehensive, affordable health insurance. These “easy-enrollment programs” allow filers to check a box on forms they file with the state (e.g., income tax returns) to indicate that they do not have health insurance and are interested in receiving information about coverage options, including subsidized Affordable Care Act (ACA)...

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