Covered California released several Job Aids or technical summaries related to ACA open enrollment for 2015. The guides cover a variety of different consumer situations from changing plans, making the initial binder payment, and the overall functionality of the CalHEERS online enrollment system. Some of the functions can only be performed by certain certified agents, counselors or […]
Covered California
Posts on the development and implementation of the California health insurance market place, application, account, enrollment, termination.
ACA households, dependents, exemptions and confusion
One of the confusing aspects of the Affordable Care Act is the interchangeable tax terms people use when defining a household. The federal and state exchanges use the terms children or dependents when describing members of a household. The IRS uses the more accurate, but confusing terminology, of personal exemptions as the true test for […]
Blue Shield and Blue Cross struggle with renewal letters to members
In the confusing landscape of health insurance regulations post ACA implementation, numerous health insurance companies have sent out renewal letters to members with errors. Blue Cross, Blue Shield, Health Net and even Covered California have had to send follow-up letters to correct erroneous information. Unfortunately, this incorrect correspondence only leads to more confusion surrounding the benefits and renewal […]
Covered California Navigator Sales Funnel Seminar 3
Covered California held their third sales seminar for enrollment partners on November 5th. While there was plenty of information for Certified Insurance Agents, it was apparent that Covered California has developed a marketing strategy to funnel sales to the Navigators. In addition to a media blitz including a bus to tour through the state, Covered […]
No Shop and Compare Tool for Covered California
It seems as if every time Covered California tries to fix or update their enrollment software, something else breaks. Two weeks before the 2015 open enrollment period begins, their Shop and Compare Tool that quotes rates for consumers, Certified Enrollment Counselors, and Certified Insurance Agents is broken. As of November 3rd, the Report a Change […]
More cuts to health agent commissions, can independents survive?
The commission structure for individual and family plans has been on a steady decline since the Affordable Care Act began to be implemented in 2011. As the commissions to agents have decreased, the request from clients for assistance has increased. Now a major carrier has announced a reduction in commissions for small group plans. There […]
Who are these Covered California dental plans?
Covered California is changing and expanding their dental plans. First, all health plans will include children’s dental insurance. There will be no need to purchase a separate dental plan for dependents 18 and younger. Second, Covered California will begin to offer family dental plans on the exchange. But who are these dental plans and are […]
Covered California Sales Seminar 2
Covered California held its second in a series of sales seminars for Certified Insurance Agents. The webinar was punctuated by technical glitches and an amateurish quality of the presenters. They did manage to address several questions that had less to do about sales and more about the CalHEERS on-going technical problems and new voter registration […]
Don’t renew until you’ve read the health plan ingredients
After four years in the health insurance business I have learned to read the fine print. Health insurance is like a can of fruit cocktail; the essential elements might be in the package but the manufacturer might be adding something you don’t want. Never trust the marketing of any insurance product because they always over […]
Mandatory California Agent Voter Registration Training
Covered California Certified Insurance Agents (CIA) were informed on October 22nd that they would have to attend mandatory voter registration training. All CIAs must assist consumers with registering to vote after they have completed enrolling them in a Covered California health plan. Mandatory webinar based training will be released later for agents to complete. Agents […]