Kevin Knauss: Health, History, Travel, Insurance
Posts on the development and implementation of the California health insurance market place, application, account, enrollment, termination.
Covered California has released a list of new and updated documents to help Certified Insurance Agents and Certified Enrollment Counselors assist existing Marketplace exchange members renew their health insurance for 2016. The focus of the renewal tool kit is on consent for verification, immigration and lawful presence, consumers who haven’t filed a 2014 tax return, and […]
For many individuals, families and their children that were award a Medi-Cal health plan based on their estimated Modified Adjusted Gross Income reported through the Covered California application, it can be a daunting task to report a change of income to Medi-Cal. As we have all learned, once Covered California hands of the enrollment to […]
Of the nearly 3 million Californian’s enrolled in Medi-Cal, Covered California estimates that approximately 2 million became newly eligible under the ACA expanded Medi-Cal rules. Many of the new Medi-Cal members are working families and individuals. They have little time to sit on hold with their local county social services department to correct Medi-Cal errors […]
In California there are essentially five different paths to getting health insurance. Each of the different options have varying conditions and restrictions. Below is a summary of the five paths to California health insurance. There is also a short video you can watch titled California Paths to Health Insurance which also explains the five different […]
After an individual or family has been approved for a tax credit subsidy to lower their monthly health insurance premium Covered California gives them ninety days to verify their income. If the consumer doesn’t submit proof of income that Covered California accepts the applicant will either be reduced to Medi-Cal or have their tax credit […]
Covered California has made great strides in reducing consumer telephone wait times and assisting individuals and families with health plan enrollments. What has bubbled to the surface is the failure of the Help Desk to resolve consumer enrollment problems ostensibly created by Covered California’s CalHEERS software. While there is no published data on the length […]
Hidden within every health plan sold through Covered California is a fee to fund their operation. This per member per month (pmpm) fee applies to both individual and family plans, small group plans sold through the exchange and adult dental plans if they are ever offered. These fees, paid by the health plans and insurance […]
A year and half after the launch of Covered California the CalHEERS enrollment website is still a work in progress. Covered California released more instructional briefs on changes they’ve made to the California Health Enrollment Eligibility Retention System (CalHEERS) website. Just when Certified Insurance Agents thought they had figured out how to navigate CalHEERS, new […]
The IRS issued guidance on whether tax payers should file an amended return once they receive a corrected 1095-A from either the federal or state exchange such as Covered California. You do not need to file an amended return based on your corrected Form 1095-A. This is true even if additional taxes would be owed […]
Consumers who have purchased their health insurance through Covered California are always being admonished to report any changes to their income to keep their tax credits in sync with their estimated Modified Adjusted gross Income. The latest spring 2015 iteration of reporting a change to a consumer’s income under the Special Enrollment Period section can […]
