The Last PPO For Individual Plans
As most of you know who are covered by Assurant or Humana, those PPO options will no longer be offered in 2016. This is truly a big blow to any competition in the Individual PPO health plans. Assurant shut down their individual division for the entire country. They had huge financial losses and had no […]
2016 Group Health Insurance
The Affordable Care Act (ACA) is close to full implementations for employer-sponsored group health plans. The ACA has had mostly negative impacts on the small group market for Indiana and the rest of the country. Any group under 50 lives, now has no underwriting for fully insured coverage. This has created large rate increases for […]
Senior Health Insurance Open Enrollment
For this years’ senior open enrollment starting November 15th, Nefouse & Associate will be offering health insurance options in the over 65 market. The over 65 health insurance market, may be the most confusing health insurance market. Having been in the individual health insurance industry since 1998, senior health insurance is the most confusing for […]
2016 Open Enrollment and Reporting
The Affordable Care Act is almost in full implementation both for groups and individuals. The individual and employer mandate are in currently in place, changing how people view health insurance. About the Individual Mandate If you do not have individual health insurance then you will be assessed a 2% penalty on household income, or $325 […]
Humana’s Pull out of Indiana
Humana’s individual health insurance division is exiting the Indiana market for 2016. Humana had offered health insurance coverage for individuals and families off the exchange. They were utilizing their PPO Network Humana/choicecare which was a national network. This plan resembled a pre Affordable Care Act product than a post. They had one of the best […]
Small Group Health Insurance rates for 2016
The health insurance companies that offer small group plans, have had their rates for 2016 approved. The definition of small group is about to change for Indiana. Currently, small group is a company with less than 50 full time employees. For 2016, this number is going to change to less than 99 employees. This is […]
Large Group 6055 & 6056 Reporting
Under the Affordable Care Act reporting obligations for large employers, is about to get complex. There are 2 new sections of the IRS code that every controller, accountant, broker, & insurance company are trying to understand. 6055 & 6056 In my own words, I will try to explain what the codes are and why they are […]
Anthem Buying Cigna
Anthem is buying Cigna for $48 Billion! This buyout would create the largest health insurance company in the US. It’s estimated that Anthem would then cover over 53 million belly buttons. Currently, Anthem is the 2nd biggest insurer and Cigna is the 4th biggest. This buy out creates less competition for the consumer, business, or medical […]
Obamacare Shovels Another $122M to Indiana Insurers
The Affordable Care Act recently sent $122.4 million to health insurers in Indiana to help Hoosiers pay for their large medical bills. The Indianapolis Business Journal wrote an article discussing this in which I was interviewed for. Read more about my thoughts on this action by visiting the IBJ website. -Tony Nefouse
2016 Individual Health Insurance rate Submission
The individual health insurance companies have submitted their 2016 rates for Indiana. Each health insurance company must submit a very detailed rate submission to the department of Insurance (IDOI). The IDOI then reviews the submission and then approve the filling if the math behind the submission makes sense. Making sense of the filling can be […]
