The 1095-A Health Insurance Marketplace Statement doesn’t give a clue on how the Monthly Advance Payment of Premium Tax Credit is calculated. Even though consumers who purchased health insurance through the Marketplace entered their Modified Adjusted Gross Income (MAGI) into the enrollment system, this income in not listed on the 1095-A they receive. The MAGI […]
Covered California
Posts on the development and implementation of the California health insurance market place, application, account, enrollment, termination.
Agent seeks class action lawsuit 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 […]
The silver lining for repaying excess ACA tax credits
One of the common complaints during tax season for individuals and families who are set to receive a federal refund is that the government got to use their money for a year before refunding it to them. Now, households who have to repay excess ACA tax credits find themselves in the situation where they got to use a […]
IRS penalty relief related to ACA tax credits
The IRS has issued additional guidance on ACA Advanced Premium Tax Credits and relief from certain penalties associated with the taxpayer receiving excess tax credits from a health insurance Marketplace. IRS Notice 2015-9 Penalty Relief Related to Advance Payments of the Premium Tax Credit for 2014 outlines how some taxpayers may not be subject to the penalties […]
Covered California cuts independent young adults from family plans
One of the selling features of the Affordable Care Acts was that children could stay on their parent’s health plan until they turned 26 years old. Unfortunately, Covered California excludes from eligibility any household member that will not be claimed as a dependent by the primary taxpayer associated with the account. However, IRS guidance suggests that […]
What’s a 1095-A SLCSP from Covered California?
Individuals and families who purchased health insurance through Covered California or another Marketplace exchange will receive a 1095-A statement of tax credits and one column will be marked SLCSP. This odd acronym stands for the Second Lowest Cost Silver Plan and is instrumental in determining the specific household Premium Tax Credit. What is affordable health insurance? […]
Getting a corrected Form 1095-A Marketplace Statement
2015 1095-A Corrections For 1095-As that report incorrect information Covered California has switched from a paper form to an online submission form or call the service center at 1-800-300-1506. Covered California 1095-A Dispute Form The online 1095-A correction request form is great if it sends a copy of the submission to the consumer via email […]
Covered California releases IRS premium tax guidance
Covered California has released a variety of documents to help tax payers enrolled in their health plans report the Advance Premium Tax Credits (APTC) on their federal 2014 tax return. The guidance from Covered California discusses the IRS Form 1095-A Marketplace Statement the tax payer will receive, using it to fill out Form 8962 Premium Tax […]
We need open enrollment rules for Doctors and Hospitals
With the announcement that Blue Shield of California may be dropping Sutter Health physicians and hospitals from their list of network providers in Northern California, Blue Shield members are wondering if their health plans are any good. For all the good of health care reform under the Affordable Care Act consumers are learning that doctors […]
Health agent sues Covered California for damages
It is no news to the first wave of Covered California Certified Insurance Agents in 2013 that Californias online health insurance exchange was not ready for business. The number one complaint from agents was they were not receiving credit, and ultimately commissions, from the numerous individual and family enrollments they were performing. […]