The Affordable Care Act is failing families on two major issues that need immediate resolution. The employer sponsored health insurance regulation has left many spouses without affordable coverage and household income limits are placing children in Medicaid programs. Together, these two ACA regulations are unfairly fracturing the health insurance coverage for many families and need immediate changes.
The new Affordable Care Act health plans offered through Covered California will help many people move out of an expensive COBRA plan and into an insurance plan with lower premiums. However, COBRA is considered “employer offered” health insurance that meets minimum essential benefits and value. Because of this many people and families on, or offered, COBRA will NOT be eligible for tax credits to reduce the monthly premiums of Covered California plans.
Whether your group doesn’t offer a health plan for employees or you’re considering dropping your group plan and letting your employees migrate to the new health insurance exchange established by the ACA, your employees will appreciate some assistance with enrollment. States are setting up In-Person Assistance programs to help individuals and families enroll in the new health plans to become eligible for the premium assistance.
With the Affordable Care Act (ACA) mandating guarantee issue health insurance for individuals, just like small and large group health plans, has the era of large group employer based health insurance run its course? After all Americans have access to quality affordable health insurance through the state based health insurance exchanges and open market in 2014 the next battle will be to bring parity between individual, small and large group health insurance plans.
Sole proprietors with small group plans might be surprised when they are notified that their current health insurance company will be discontinuing their coverage in 2014. With the advent of guarantee issue individual and family plans under the new Affordable Care Act (ACA), some carriers have already decided to discontinue issuing small group plans to sole proprietors.
The identification of a decent health insurance plan has been like trying to identify edible mushrooms. So many mushrooms look the same: white stem with a cap on top. If you pick the wrong mushroom for dinner it could kill you, just like health insurance. Covered California has created some booklets, or field guides, to help people spot and identify the best health insurance for their family from within the new health insurance market place opening October, 2013.
Many insurance agents who sell health plans and have vehemently opposed the Affordable Care Act have gone through the classic stages of grief over its passage: denial, anger, depression, bargaining and finally, acceptance. While some in the industry still hold out hope that the fortieth plus attempt to repeal the ACA will be a charm, most have accepted the new law and are looking ways to adapt and profit from its provisions.
Covered California released their small business health option plans (SHOP) for small employers and they might prove competitive for some companies with less than 50 employees. There will absolutely be small businesses that will not participate because they don’t want to support any government bureaucracy, even if it is to their benefit.
The new strategy of the GOP and Tea Party unveiled this summer to derail Obamacare is to encourage young adults not to purchase health insurance. It is beyond my comprehension that they would rely on the government, either through the promise of the individual mandate or persuasive marketing, to deliver a certain percentage of young adults for enrollment.
Anthem Blue Cross of California has withdrawn their application to offer small group health insurance plans through Covered California. Unlike the individual and family market health plans purchased through Covered California that will be invoiced directly by the respective carrier, the SHOP plans are to be purchased and administered by Covered California.