Appeal an EMAC Supplement Liability Determination

If you received an EMAC (Employer Medical Assistance Contribution) Supplement Liability Determination that you disagree with, learn how to request an appeal to the EMAC Supplement Hearings Department.
You may file an appeal to the EMAC Supplement Hearings Department within 10 calendar days of the mailing date on your determination notice.

EMAC Supplement Hearings Department

Phone

Monday-Friday 8:30 a.m.–4:30 p.m.

The Details of Appeal an EMAC Supplement Liability Determination

What you need for Appeal an EMAC Supplement Liability Determination

If you are filing an appeal online, you will need the user ID and password to your UI Online employer account.

If you are a third party administrator (TPA) filing an appeal on an employer's behalf, you must be assigned the EMAC Supplement Appeal Submission role.

How to appeal Appeal an EMAC Supplement Liability Determination

  1. Log in to your UI Online account:
  2. Click Determination and issue summary in the left pane to search for a determination.
  3. Using the search features, find the EMAC Supplement Liability Determination that you wish to appeal and click Select.
  4. Proceed by clicking the File appeal radio button and follow the required steps.

Complete the Appeal Request Information form that was mailed to you with your liability determination notice.

Send your completed form to:

EMAC Supplement Hearings Department
19 Staniford St., 2nd Floor
Boston, MA 02114

Next steps for Appeal an EMAC Supplement Liability Determination

Read the Guide to appealing an EMAC Supplement Liability Determination

For information about what happens after you submit an appeal request, read the Guide to appealing an EMAC Supplement Liability Determination. The guide contains information about the following:

  • How to file an appeal
  • After you file an appeal
  • Hearings Department procedures
  • Prepare for your hearing
  • After your hearing
  • Request an additional review of an employee’s eligibility for subsidized healthcare

Downloads for Appeal an EMAC Supplement Liability Determination

Contact for Appeal an EMAC Supplement Liability Determination

Address
EMAC Supplement Hearings Department, 19 Staniford St., 2nd Floor, Boston, MA 02114
Phone

Monday-Friday 8:30 a.m.–4:30 p.m.

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