2 09, 2015

Need health insurance outside of the open enrollment period – consider the California Major Risk Plan (MRMIP)

September 2nd, 2015 |Categories: ACA, Covered California, Health Benefit Exchange, Individual Medical Insurance Articles|

If you didn't sign up for individual health insurance in California during the open enrollment period, you're not stuck.  A little known state program, Major Risk Medical Insurance Plan (MRMIP), may be your saving grace.  While no insurance company will offer you coverage outside of the open enrollment period unless [...]

5 10, 2014

Group Health Insurance vs Individual Coverage: Compare After-Tax Cost, Provider Networks & Plan Benefits

October 5th, 2014 |Categories: ACA, Covered California, Health Insurance Reform, Individual health insurance vs group health insurance, Individual Medical Insurance Articles, Large Group Medical Insurance Articles, Small Business Articles|

Perhaps a company could give employees a salary bonus or "taxable discretionary wellness stipend" so that employees can buy their own individual medical coverage. If you’re considering a salary bonus or "wellness stipend" for employees to purchase their own individual medical insurance you should consider the following... Tax and worker’s comp savings are THE major reasons that companies sponsor group health insurance plans rather than offering a taxable stipend or salary bonus...A salary bonus or taxable wellness stipend for health insurance is extremely tax inefficient and forces employees to purchase inferior health insurance plans in the individual market.

15 08, 2014

Should a company reimburse employees’ INDIVIDUAL health insurance cost rather than sponsor a GROUP medical plan?

August 15th, 2014 |Categories: ACA, Covered California, Health Benefit Exchange, Health Insurance Reform, Individual Medical Insurance Articles, Large Group Medical Insurance Articles, Small Business Articles|

With the high cost of health insurance many companies are considering alternative financing arrangements to group health plans.   The Affordable Care Act (i.e., ACA, Obama Care, Health Care Reform) created exchanges to help individuals purchase their own coverage.  Also, the ACA forbids insurance companies from asking questions about preexisting medical [...]

23 09, 2013

Covered California – Agent Training & Enrollment Website

September 23rd, 2013 |Categories: (SHOP) Covered California Small Business Articles, ACA, Covered California, Health Benefit Exchange, Health Insurance Reform|Tags: , , , , |

Covered California, the new health insurance exchange in California has begun agent training. Kudos to them because they have accomplished a lot in a very short period of time. With this blog post I hope to give some first hand info and feed back on the training process and on the enrollment procedures and processes.

6 09, 2013

Understanding California Health Care Reform / Obamacare / Affordable Care Act / ACA

September 6th, 2013 |Categories: (SHOP) Covered California Small Business Articles, ACA, Covered California, Health Benefit Exchange, Health Insurance Reform, Individual Medical Insurance Articles, Large Group Medical Insurance Articles, Small Business Articles, Videos|Tags: , , , , , , , |

We've prepared easy-to-understand videos that explain the new health care reform law (Affordable Care Ace, ACA, Obama Care). Topics include how to complete the required notices (Exchange, SBC & Glossary); an overview of individual and family coverage including Covered California; and problems of the current system that the ACA solves.

13 08, 2013

Covered California Small Business Health Options Program (SHOP) Exchange Rates

August 13th, 2013 |Categories: (SHOP) Covered California Small Business Articles, ACA, Covered California, Health Benefit Exchange, Health Insurance Reform, Small Business Articles, Uncategorized|

Given the rates SHOP released and the new rules for rating individual and small group health insurance, I am led to the conclusion that some small groups (and individuals) will likely pay much more than they currently do - while some may pay less.

24 05, 2013

Covered California (Exchange) Announces a Few Individual Rates

May 24th, 2013 |Categories: ACA, Covered California, Health Benefit Exchange, Health Insurance Reform, Individual Medical Insurance Articles|

Today, May 23, 2013, the California Health Benefit Exchange, Covered California, released the 2014 individual health plan rates for 25 and 40 year olds. As they said in their press release, “it is impossible to make a direct comparison of these rates to existing premiums in the commercial market.” Still, at first glance the rates don’t look too high – but there..

17 05, 2013

Health Care Reform Update: Action in Sacramento

May 17th, 2013 |Categories: ACA, Covered California, Health Benefit Exchange, Health Insurance Reform, Small Business Articles|

Much is in flux with the ACA and we should accept that many good questions do not have answers – yet. Michael Lujan, Director of Sales and Marketing for Covered California advised us to “get the facts.” We should be comfortable saying: “here is what we know now and here is what has not been determined. We don’t have the information to answer all of the questions… at this time. ”

15 04, 2013

CA Exchange Website Could Spell Trouble for Insurers & Consumers

April 15th, 2013 |Categories: ACA, Covered California, Health Benefit Exchange, Health Insurance Reform, Individual Medical Insurance Articles|

On April 8th, 2013 Covered California/exchange/HBEX held a webinar for agents to describe their online enrollment process. Buried at the end of the presentation, slide 37 of 39 slides, was a screenshot of the page someone will see when he/she goes online to select a health insurance plan through Covered California. Bad news [...]

8 04, 2013

California Exchange (HBEX) Shocks Insurance Industry with Selection of SHOP Administrator

April 8th, 2013 |Categories: ACA, Covered California, Health Benefit Exchange, Health Insurance Reform, Small Business Articles|

California’s Health Benefit Exchange (HBEX)  also known as “Covered California,” sent an email to agents on Friday, April 5, 2013 to announce that they had selected Pinnacle Claims Management, Inc. to run the California SHOP exchange for small businesses. This shocked many in the insurance community including carrier reps, general [...]