A list of Healthcare Reform Simplified posts
Post 1: Why do we need healthcare reform?
Post 2: Individuals and Families
Post 3: Business
Post 4: Prevention
Post 5: Medicare
Adobe Acrobat file of the first 5 posts >[download id="28"]
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If a married couple only wants coverage for one eff 1/1/14 through the CA Marketplace and chooses a Bronze plan without subsidy, and the other spouse keeps cobra because she is pregnant but wants to cancel cobra in July after the baby is born. What plan/subsidy options will be available to her? Will she have a qualifying event if she CHOOSES to cancel her Cobra after March 31st? It is more than 9.5% of her household income.
Correct. If the COBRA is greater than 9.5% of income when it is cancelled, then that person would eligible for premium assistance.
The individual is eligible for a special enrollment period when COBRA discontinues after 18 months.
I am not sure if canceling COBRA after open enrollment, even it the premium is >9.5% qualifies for a special enrollment period. It might if the household income shrunk because of the loss of a job making the premium >9.5%.
Either way, I would exercise caution when planning for a special enrollment period with the cancellation of any plan.
If my blog post didn't answer your question, send it to me via the Contact page above. Write or call if you have a question about the Covered California paper or online application. I might have the answer or I can find it. 916-521-7216
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