Qualifications: Independent CPA firm experienced in health insurance exchange audits, following AICPA attestation standards and GAGAS.
Coverage: Annual audits for fiscal years 2026–2030.
Financial scope: Audit receipts and expenditures for GAAP compliance and assess internal controls and financial monitoring.
Programmatic scope: Review eligibility determinations, enrollment accuracy, premium tax credits, cost-sharing reductions, privacy and IT security safeguards, health plan certification, and quality reporting.
Deliverables: Financial statement audit report by March 27 and programmatic compliance audit report by May 15 each year, including methodology and findings.
XL Eagle