Filing an Appeal

If you disagree with a decision regarding your tax credit or enrollment eligibility, you have the right to file an appeal with Your Health Idaho. To file an appeal, please choose one of the following options:

Electronically:

• Download the Appeal Request Form 
• Complete the form and save a copy
• Email the completed form to appeals@yourhealthidaho.org with “Appeal Request” in the subject line
  • If you are submitting a medically urgent appeal, please include “medically urgent” in the subject line of your email as well

Physically:

• Download the Appeal Request Form
• Print the form
• Mail the completed form to:

Your Health Idaho
P.O. Box 50143
Boise ID, 83705

You can also call Your Health Idaho for help at 1-855-944-3246. The date of your email, postmark, or call is considered the date you filed your appeal.

Once you have filed an appeal, it may take up to 30 days for Your Health Idaho to conduct the appeal process and issue a decision. You will be notified by email when the appeal process is completed, and a determination has been made. If you do not agree with the initial appeal decision, you may request a formal hearing to present your case before the Appeal Hearing Committee of Your Health Idaho.

Appeals Decisions

Employer Appeals

If you received a notice stating you may be subject to the Employer Shared Responsibility Payment, you have the right to file an appeal with the Health Insurance Marketplace within 90 days. To file an appeal, please visit: https://www.healthcare.gov/marketplace-appeals/employer-appeals/

You can also call 1-800-355-5856 (TTY:711) for assistance.

IMPORTANT NOTE:  This appeal will NOT determine if your organization must pay the Employer Shared Responsibility payment. Only the Internal Revenue Service (IRS) can determine which employers are subject to the Employer Shared Responsibility Payment as sated under section 4980H of the Internal Revenue Code.