You have the right to file an appeal if you disagree with a determination from MNsure. If you need legal representation in your MNsure appeal from an attorney that knows the MNsure appeals process, Contact Holt Law, LLC
The MNsure appeals information is summarized below (credit to the MNsure website).
WHAT — You may appeal:
- the amount of tax credits or cost sharing reductions determined by MNsure;
- whether you are exempt from the individual mandate;
- enrollment and issues related to Medical Assistance and MinnesotaCare;
- vacating (over-riding) a dismissal of an appeal; and
- the employer notification of a penalty for not providing “affordable” health coverage.
HOW — To file an appeal, you have the option to:
1. Visit www.mnsure.org and log into your account to file online.
2. Call the Contact Center toll-free at 1-855-366-7873 to file over the phone.
3. Mail the appeal request form to:
81 East 7th Street, Suite 300
St. Paul, MN 55101-2211
4. File in person at the Minnesota Department of Human Services Information Desk:
444 Lafayette Road N
St. Paul, MN 55101
Other useful information:
- Filing an appeal is FREE.
- You do not need an attorney to appeal, you are allowed to represent yourself or have a designated person represent you as long as you are present.
- Timing is critical:
- You must file your appeal within 90 days of the date of your eligibility determination notice.
- For decisions on Medical Assistance or MinnesotaCare, you must file your appeal within 30 days of the date of your eligibility notice. This goes up to 90 days if you can show good cause for filing late.
- For Medical Assistance or MinnesotaCare, your benefits continue only if you appeal the later of: within 10 days of the date of the eligibility notice; or before the date when the action takes place.
Complete procedural rules for MNsure appeals can be found at: Minnesota Rules, Parts 7700.0100 – 7700.0105.
This is NOT Legal Advice. Contact Holt Law, LLC to determine if representation for a MNsure appeal is right for you.
(Updated March 2016)