Covered California considers advertising vision insurance plans

Covered California ponders offering vision insurance on their website in 2016.

At the August 2015 Covered California Board meeting James DeBeneditti, Deputy Director of Plan Management, reviewed the options and challenges for offering vision insurance on the Covered California online enrollment website. The only viable option reported was to put a simple link on the Covered California website to vision insurance providers. For the inclusion of the hyperlink Covered California would charge $10,000 and take a 10% commission. The $10,000 implementation fee is essentially an advertising cost for the vision plan while Covered California acts like an unlicensed insurance agent collecting a 10% commission for selling vision insurance.


Covered California launches new small group marketing

Covered California launches new video marketing to drive business to their small employer group health plans.

Covered California has released a series of marketing videos to develop interest and drive sales to their small employer group plans. Formerly known as SHOP (Small business Health insurance Options Program), the small employer group offerings, authorized as part of the Affordable Care Act, has been re-branded as Covered California for Small Business. The small employer group marketplace exchange initially flopped as it was beset with an online application process that failed and subsequent management problems that resulted in billing nightmares for many clients. Fortunately, they seem to have righted the foundering small group boat at Covered California.


California family health insurance 2016 rate filings

The formal rate notifications to the state of California for the various individual and family health insurance plans.

Whenever a health insurance company or health plan wants to change their health insurance rates in California they must submit a justification for the rate change in the monthly premium amounts to the Department of Managed Health Care or Department of Insurance. Regardless of which agency they must submit their rates to, the agencies just […]


California health plans hide children’s dental and vision providers

California health plans hide pediatric dental and vision providers  from members.

Tucked into every individual and family health plan in California are some very good dental benefits for children. Unfortunately, the health plans don’t make it very easy to identify which dentists will accept the pediatric dental insurance that comes standard for dependents under 19 years of age. If a parent doesn’t select the correct plan […]


Assurant Health insurance will exit California

Assurant Health to close up or sell by end of 2015.

While some health insurance companies are thriving under the ACA with record enrollment numbers, Assurant, Inc. announced they will either sell their health insurance business, Assurance Health, or shutter it completely. Assurant Health will not be participating in open enrollment in the fall of 2015 for new individual and family health plans in 2016. Assurant […]


How much do health insurance agents earn?

Health insurance agents will work for food since the commission are so low.

There was time when an insurance agent could make a decent living enrolling individuals, families and small groups into health insurance plans. With the advent of the Affordable Care Act and the subsequent downward pressure on commission rates, agents can still earn a living selling health insurance but it is not without its challenges. The […]


California Transgender Health Insurance Survey

California transgender health insurance survey.

With the passage of the Insurance Gender Nondiscrimination Act (IGNA), also known as AB 1586, all California health insurance plans must cover medically necessary transgender health care services. Unfortunately, many health plan customer service representatives and many health care providers are not aware of the law and have erroneously denied or delayed coverage and treatment […]


Blue Shield estimates costs for health care services

Blue Shield introduces new health care services cost estimator.

  One of the big complaints about health care services is not knowing or being surprised by the cost of medical treatment. Blue Shield of California has taken a modest step toward helping plan members determine the cost of health care services with their new treatment cost estimator tool. Initial reports from clients suggest the […]


Covered California dumps dental plans for 2015

Covered California quietly announced that family dental plans will not be offered in 2015.

Covered California has quietly announced that they will not be offering individual and family dental plans through the exchange in 2015. The dumping of the family dental plan options comes after Covered California released a whole dental plan booklet of family dental plans in August of 2014. No reason was given as to why the dental plans will […]


Agent seeks class action lawsuit against Covered California

Agent seeks class action law suit against Covered California.

Certified Insurance Agent John Dickey, who is already taking Covered California to small claims court, is now in conversations with a Southern California law firm to potentially file a class action lawsuit against Covered California on behalf of agents who suffered a loss of income because of the numerous problems during open enrollment for 2014. Dickey’s […]