March 15th to April 30th is the Special Enrollment Period
Medicare and Medicaid Services (CMS) announced a Special Enrollment Period (SEP) for people that did not have health insurance coverage in 2014 and were penalized. Then penalty came when you filed your taxes. CMS has decided to make those who were unaware of the new law an opportunity to get coverage. To be eligible for […]
Anthem Has Been Hacked
Anthem Blue Cross and Blue Shield Announced on February 4th 2015 that they had been the target of a cyber-attack. The attackers gained unauthorized access to Anthem’s IT system and obtain personal information from current members and former members. The attackers obtains social security numbers, birth dates, names, addresses, email addresses, and employment information. This […]
Indiana Carriers Not Mailing out Certificates of Prior Coverage
When you have a health insurance policy in place and you end that coverage, you would usually receive a certificate of prior coverage. With that certificate, the new insurance company that you signed up with would then ask for that document to confirm you had prior coverage. In 2014 specifically, the insurance industry used the […]
2015 Anthem Silver Policy
Benefit Benefit Details Monthly Cost Monthly Cost Includes: Total Monthly Premium Subsidized Premium Non-subsidized ACA Insurer Fee Exchange Fee Reinsurance Fee Deductible(s) $3,500 (Does not apply to Tier 1 and Tier 2 Primary Care Visit to Treat an Injury or Illness You pay $45.00 – not subject to deductible Out of Pocket Max $4,500 (includes deductible) […]
2015 Anthem Bronze Policy
Benefit Benefit Details Monthly Cost Monthly Cost Includes: Total Monthly Premium Subsidized Premium Non-subsidized ACA Insurer Fee Exchange Fee Reinsurance Fee Deductible(s) $5,750 (Does not apply to Tier 1 and Tier 2 Primary Care Visit to Treat an Injury or Illness You pay $40.00 – not subject to deductible, for the first 2 visits. For […]
Employer Mandate for 2015
The Employer Mandate is a part of the Affordable Care Act (ACA) that penalizes employers who do not offer health insurance coverage to their employees and dependents. The health plan has to meet certain criteria of the ACA and meet the definition of affordable to the employee. It does not address affordability to the dependents. […]
A Broker’s View on the Save American Workers Act
The Save American Workers Act is a Bill Authored by Rep. Todd Young that would change the definition of a full-time employee under the Affordable Care Act (ACA). The current definition states that any employee working more than 30 hours a week qualifies for employer sponsored group health benefits. Also under the ACA is the […]
Insurance Plan Options for Indiana
Under the Affordable Care Act (ACT) Also known as “Obamacare”, the law has tried to make plan options easier for people to understand. We now have 4 categories that are described as metallic. Bronze, Silver, Gold, and Platinum. These categories are for individual and group health plans both on and off the exchange. These descriptions […]
2015 Marketplace Plans for Indiana
Plans went live for Indiana on healthcare.gov over the weekend. Until the November 15th this is only for review. We have 7 companies offering a total of 75 plans with designs. Of the 75 planned designs, 6 are PPO, 1 POS, 7 EPO and 61 HMO. These are networks arrangements. PPO = Preferred Provider Organization: […]
Community Ratings and How They Impact Indiana
Under the Affordable Care Act (ACA) or” Obamacare” health insurance companies are required to offer coverage to all people and businesses. This is called guaranteed issue and has helped a lot of Hoosiers. With Guaranteed issue, the ACA requires health insurance companies to use community ratings for Individual and small businesses. This is where the […]
