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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-01-14-02507
Report Description

Vermont Health Connect's (Vermont marketplace) internal controls were not always effective in ensuring that individuals were enrolled in qualified health plans (QHPs) according to Federal requirements. We identified deficiencies related to verifying applicants' identities, determining eligibility of applicants, resolving inconsistencies in eligibility data, and updating eligibility and enrollment data. QHPs are private health insurance plans that each marketplace recognizes and certifies as meeting certain participation standards and covering a core set of benefits.

Report Type
Audit
Location

VT
United States

Number of Recommendations
13
Questioned Costs
$0
Funds for Better Use
$0

Department of Health & Human Services OIG

United States