You have the right to appeal this matter with Pennie

You have the right to appeal any final health insurance coverage eligibility determination from Pennie.  You can appeal Pennie’s decision to deny, terminate, or change: 

• • • Your eligibility to buy health insurance coverage through Pennie. 
    • The Advance Premium Tax Credits (APTC) you are eligible to receive, including the dollar amount of your APTC.  
    • The Cost Sharing Reductions (CSR) you are eligible to receive, including the level of your CSR. 
    • Your ability to enroll in or change plans through Pennie outside of the open enrollment period. 
    • The coverage you can buy because Pennie determined that you did not submit documents to verify information on your application.  
    • A timely eligibility determination after you applied for coverage. 

Note: You have ninety (90) days from the date of the final Eligibility Determination to file an appeal.

Your appeal must include your name, address, and the detailed reason that you think Pennie’s Eligibility Determination is in error.  If you are requesting an appeal for someone else (like your child), also include their name. Any decision about your eligibility may also change the eligibility of other people in your household. 

All appeals from Pennie actions are governed by 45 C.F.R. §§ 155.500-155.555 and the General Rules of Administrative Practice and Procedure, 1 Pa. Code Part II, Chapters 31-35. 

To continue with your appeal, download and complete the form below.