conduct public education
distribute fair and impartial infomration about plans and tax credits
provide referrals for consumer assistance or ombudsman
provide culturally and linguistically appropriate information.
–A qualified individual may enroll in any qualified health plan, in or out of the exchange, except that he may enroll in a catastrophic health plan only if he is eligible.
–Employer may specify level of coverage, employees may choose plans within a level.
–A health insurer shall consider all enrollees in the individual market in a single risk pool (otehr than grandfathered health plans).
–A health insurer shall consider all enrollees in all group health plans to be members of a single risks pool (other than grandfathered health plans).
–A state may allow agents or brokers to enroll in health plans as offered through an exchange and to assist individuals in applying for tax credits. and cost-sharing reductions.
–CO-OP program established to foster the creation of qualified health plans in the individual and small group markets in the states in which they are licensed to offer such plans.