On November 4, 2013, the Centers for Medicare & Medicaid Services (CMS) issued a frequently asked question (FAQ) related to third-party payments of premiums for qualified health plans (QHPs) in the Health Insurance Marketplace. Since then, questions have arisen whether this FAQ applies to payments of premiums and cost sharing made on behalf of QHP enrollees by certain types of third-party payors.
The statement also clarifies that a Marketplace may permit Indian tribes, tribal organizations, and urban Indian organizations to pay QHP premiums on behalf of members who are qualified individuals.