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UNOFFICIAL

“Exchange” means the Hawaii health insurance exchange established under the Affordable Care Act. “Qualified health plan” means a qualified health plan or a qualified health plan issuer, as those terms are defined in 45 C.F.R. §155.20, and as the context may dictate. [Eff 02/27/15 ] (Auth: HRS §346.14) (Imp: HRS §346.14)

§17-1731-3 Eligibility requirements. To be eligible for the premium assistance described in this chapter, an individual shall: (1) Have selected or be enrolled in a 94% actuarial value silver level qualified health plan through the Exchange; (2) Be determined eligible for advanced premium tax credit (APTC), apply the maximum APTC amount available towards their premium and the maximum cost-sharing reduction (CSR) by the Exchange; (3) Have household income of less than one hundred percent of the federal poverty level for the applicable household size as determined by the Exchange and communicated by the Exchange to the qualified health plan selected by the individual. [Eff 02/27/15 ] (Auth: HRS §346.14) (Imp: HRS §346.14)

§17-1731-4 Benefits. (a) The department shall, upon presentation of an invoice by a qualified health plan to the department, pay the share of premium that the eligible individual is required to pay to the qualified health plan to receive coverage. (b) Benefit limitations: 1731-2