2022 A.C.A. Cost Sharing and Out of Pocket Maximums

Under the Affordable Care Act, the U.S. Department of Health and Human Services (H.H.S.) releasing rules on small group and individual health insurance plans and large group health plans. These notices typically impact the out-of-pocket max on a health insurance plan, employer shared contribution limits, and the enforcement of existing rules. 2022 Out of Pocket …

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 …

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 …

Early Retirement and Health Insurance

One question we field almost on a weekly basis is: “What is health insurance going to cost if I retire before 65?” Under the Affordable Care Act, it is not an easy question to answer because everyone’s situation is different. When trying to budget for individual health insurance it’s important what time of year you …

National Association of Manufactures launches an AHP 

The National Association of Manufacturers (NAM) has launched an association health plan (AHP) that is available in Indiana to start January 1st, 2020. Mercer developed the health plan through UnitedHealthcare. An association health plan (AHP) is developed specifically for an association and its members. The NAM AHP is operating under the rules where each group/company …

The Short-Term Health Insurance Evolution

Short term health insurance has gone through an exciting evolution since the passing of the Affordable Care Act.  Before the ACA going into place, the short term was a health insurance policy that you would use to ensure against major medical claims for a short period.  The most common use was coverage in between jobs. …

Health Insurance options 2020

Open enrollment is right around the corner for most people that have health insurance. Most of the employers have a January 1st renewal with the open enrollment period a month prior. The Individual market open enrollment is Nov.1st -December 15th.  Indiana has become one of the most expensive states for health care; this was revealed …

Anthem’s Chambercare Health Alliance

Anthem has developed a new Group Health Insurance plan for Indiana small group employers.  This is in direct response to the unintended consequences of the Affordable Care Act (ACA).   Under the ACA, Indiana small group health insurance rates have doubled, and Anthem has been one of the last large to bring a solution to market. The …

Indiana Recovers Medicaid Tax Under the ACA

Indiana was one of six states to file a lawsuit against the Affordable Care Act’s health insurance provider fee (HIPF) for State Medicaid plans. The U.S. District Judge ruled in favor of the plaintiffs, Texas, Indiana, Kansas, Louisiana, Wisconsin & Nebraska’s that the government must pay back $840 Million in Obamacare fees. What is the …