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 […]
Health Insurance for Three Generations
A common situation here in the United States is an older parent living with a first generation American. This older parent is often not a US citizen, meaning they don’t qualify for Medicare. Here at Nefouse & Associates we have found a solution to this problem under the Affordable Care Act. We’re able to provide […]
Anthem Small Group Renewals in Indiana
This is possibly the most interesting time in small group health history locally, not to mention the rest of the country. Anthem releases 4th quarter renewals Small group health insurance renewals have been released for the 4th quarter from Anthem. “WOW” is all I can say! The renewals that are being released are all “grandmothered.” This […]
Dual Rulings on the ACA: How does this affect Hoosier small businesses?
Last week, we had two different rulings come out of the courts. The U.S. Court of Appeals for the D.C. Circuit ruled that it was not legal to give tax credits/subsidies to residents of states that did not develop a state-based exchange. In Richmond, we had another court rule that is was legal for the IRS to […]
Drug Exceptions Under the Affordable Care Act
As the Affordable Care Act provides more and more clarification on the law, we are starting to see some serious mandates outside of what was known. If you are receiving health insurance coverage through an ACA-compliant plan, you may be eligible for additional drug coverage that is not currently covered by your plan. The law […]