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How Will Covered California Verify Incomes?

The final spending deal that ended the federal shutdown includes a provision that adds a layer of scrutiny for income verification in the new health insurance marketplaces.  Health Care Reporter Pauline Bartolone in Sacramento reports on what it means for California.

The agreement hashed out by Congress calls for federal reports to be submitted about how marketplaces confirm income.  But if you’re enrolling in California’s exchange it’s not going to make any difference.

“It will have virtually no impact on our day to day operations when it comes to income verification. Our policy procedures are set and ready to go,” says Anne Gonzales of Covered California.

She says the verification process goes like this: Applicants state their current and projected income. That information is linked with a federal database with 2012 IRS and social security data. If there are discrepancies, Covered California will ask applicants to document the income change. And Gonzales warns that policyholders may have to pay the IRS back if they received government subsidies they are not entitled to.   

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