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 […]
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Hidden fees that support the Covered California budget
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 […]
Updates to Covered California enrollment software for spring 2015
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 […]
Reporting income changes with special enrollment under Covered California
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 […]
IRS says file with bad Covered California 1095-A
In updated Frequently Asked Questions regarding the ACA Premium Tax Credits and federal tax returns, the IRS says tax payers can file with what they know are bad 1095-As issued by Covered California. The tax payer will then have the option to file an amended tax return if they are entitled to a larger […]
Covered California forgot to add pediatric dental to 1095-As
Families who purchased health insurance and pediatric dental through Covered California are getting a corrected 1095-A Marketplace statement because Covered California forgot to add the pediatric dental insurance premiums on the initial 1095-A. For families who have already filed their taxes with the incorrect information and subsequently received a corrected 1095-A, they may have to […]
IRS waives Covered California incorrect 1095-A tax collection
The Treasury Department has decided to expand their February 24 announcement waiving collection of under reported health insurance tax credits to states that are running their own Marketplace exchanges. Tax payers who already filed their tax returns using incorrect 1095-As issued by Covered California will not be subject to the collection of excess Advance Premium […]
Agent begs to be paid Covered California SHOP commissions
I’m not above begging. That is essentially what I did when I addressed the Covered California Board at their March 5, 2015 meeting. Since I have not been paid a commission from Covered California’s small group SHOP division in over eight months, I was politely requesting if someone could look into the situation. My […]
New federal poverty line could knock Covered California families into Medi-Cal
The federal Department of Health and Human Services has published the 2015 federal poverty line (FPL) which includes a modest increase over the 2014 FPL. The FPL is used by Marketplace exchanges like Covered California to determine when an individual or family is eligible for either Medicaid, Medi-Cal in California, or tax credits to purchase […]
1095-A reveals excess ACA tax credits paid to Blue Cross from Covered California
Information from a consumer’s 1095-A Marketplace Statement reveals that Covered California continued to credit Anthem Blue Cross with Advance Premium Tax Credits (APTC) even after the consumer had transitioned to Medi-Cal. While there doesn’t appear to be any fraud, Anthem did receive at least $647 for an individual who was no longer a member of their […]