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 […]
Supreme Court Ruling on King v. Burwell
The Supreme Court ruled 6-3 in favor of keeping the tax credits for states without a state based exchange. This is a huge win for the Affordable Care Act. This was viewed by some as the last big battle of the ACA. When you read the actual ruling, the court points out that the term […]
Breast Cancer Susceptibility testing Under the ACA
The Departments of Treasury, Labor and HHS released clarification on preventive care requirements under the Affordable Care Act. Specifically they addressed personal history as it relates to routine breast cancer susceptibility gene (BRCA) testing. We should see all of the health insurance policies that are ACA compliant cover this type of test as preventive care. […]
Anthem Network Expansion!
St. Vincent’s and Anthem have come to an agreement for Anthem’s individual health insurance network. This is a large expansion of the Pathway X HMO/POS network. Now all Anthem individual policy holders both on and off the exchange will have access to utilize St. Vincent’s medical services. Learn more here When the Affordable Care Act […]
UnitedHealthcare Individual Health Insurance Billing Issues
UnitedHealthcare/UnitedHealth Life/ Allsavers have had major billing issues on their individual lines of coverage. If you make a payment and it is not allocated to your account, that’s when problems begin. It’s almost like the payment stays in limbo. Automatic Bank Drafts are being drafted but are not posting to the account. In some situations, we are […]
Indiana Business Classification under the ACA
With the new laws governing business under the Affordable Care Act, a company must determine how they are viewed under the ACA. There is small group and large group categories. Companies with less than 49 employees are considered small, companies with more than 50 employees are determined large. To determine which category your company falls […]
Indiana and the Month of May and Health Insurance?
How could we related health insurance to the Month of May in Indiana? The Indianapolis 500 brings in spring, with the open wheel cars whistling around the track. There is new grass on the little league field. How could we relate health insurance to the Month of May in Indiana? After open enrollment, most people […]
Assurant Health is D.O.A. for 2016
On April 28th, Assurant Health issued a statement that they will be either selling the company or shutting down. This comes as no surprise to us. Assurant Health has been a smaller health insurance company in the Indiana market. Prior to the Affordable Care Act(ACA), they were really active in rural communities. They had creative small group […]
Tax Credit and Filings
The first tax season is behind us and no one knew what was going to happen with tax credits. The Federal Marketplace compared what was reported on the tax credit application and what the individual filed on their tax returns. It was estimated that 45% of the people that purchased health insurance with tax credits, […]
