Indiana Hospital Transparency Pricing

January 1st, 2021, all hospitals are required to display at least 300 “shoppable medical Services “that a health care consumer can access prior to having a procedure. The goal is to give greater transparency to people who wish to be better consumers of health care. The medical providers are supposed to display these services in …

The Family Glitch

Under the Affordable Care Act, an employee can qualify for premiums assistance if the current employer costs more than 9.83% of the employee’s income.  The “family glitch” is where the dependent’s costs are more than 9.83% of household income. Still, they do not qualify for premiums assistance because the affordability is based on the employee …

American Rescue Plan & Health Insurance

President Biden officially signed into law H.R 1319 aka American Rescue Plan Act of 2021 on March 11, 2021.   One of the goals of the law is to expand Health Insurance by making it more affordable. Marketplace Tax Credits Expansion on Health Insurance Under the new law, people that purchase individual and family Health …

Remote Employees and Insurance Benefits

The Covid-19 pandemic has changed everything in our society, and now we could see job classes change for all size companies.  Through the pandemic, it has been proven employees can be productive working remotely and, in some cases, more productive. We are seeing different employee class terminology being thrown around by tech companies: Flex employee- …

COVID-19 2021 Special Enrollment Period

President Biden has issued an Executive Order creating a Special Enrollment Period (SEP) in response to the COVID-19 national emergency.  According to the Centers for Medicare & Medicaid Services, all states that operate a federally-facilitated exchange will have a SEP for all uninsured or underinsured people.  The SEP will begin on Feb. 15th, 2021, and …

President Biden & Health Insurance

As President Biden becomes the next President of the United States, we are starting to get a glimpse of the agenda when it comes to health insurance. President Biden has strong support for the Affordable Care Act, and every indication is that support will continue under his presidency. The recent proposal called the American Rescue …

2021 Indiana Individual Health Insurance

The 2021 Individual Health Insurance open enrollment is in full swing.  Originally started on November 1st and will end on December 15th, 2021. Don’t wait until the last minute to finalize your enrollment. History has shown that the marketplace will have problems in the last couple of days of open enrollment due to high volume. With …

2021 Indiana Individual Health Insurance

Every year the insurance companies participating in the Indiana Individual Health Insurance market must submit their rates and plan designs to the Indiana Department of Insurance for approval. Any Hoosier who has had to purchase health insurance in the Indiana Individual Health Insurance market know that we have only a few carriers offering coverage in the …

Health Reimbursement Arrangements (HRA) and Individual Health Coverage 2

If you work or own a small business, you may be familiar with using HRA’s to help reimburse employees for individual health insurance. This strategy has been around for over a decade and has always been controversial under the tax code. Small businesses that have struggled with group health insurance costs and participation requirements have …