The insurance companies know more about the variety of reasons for plan closures than they are telling the public. The CEO’s of major health plans should be brought before congress an asked about the real reasons they are closing plans.
Anthem Blue Cross of California has withdrawn their application to offer small group health insurance plans through Covered California. Unlike the individual and family market health plans purchased through Covered California that will be invoiced directly by the respective carrier, the SHOP plans are to be purchased and administered by Covered California.
Anthem Blue Cross of California will be notifying certain small employer groups that they will be receiving a rebate under the Affordable Care Acts’s Medical Loss Ratio (MLR). They missed the 80/20 target for small group plans overseen by DMHC. These plans consist of Health Maintenance Organizations (HMOs) that are overseen by DMHC.
Only two plans, Anthem Blue Cross and Blue Shield of California will be available in all the 19 regions in California. All of the regions will have at least 3 health insurance plans to choose from. Many of the plans are region specific to areas such as San Diego, Los Angeles and the San Francisco Bay area. In addition, some of the plans have concentrated primarily in Medi-Cal and Medicare market and this will be their first push into the individual market.
With the inclusion of Women’s Preventive health benefits in the Affordable Care Act, new mothers can access no charge breast feeding support and the rental or purchase of a breast pump to support her newborn.
Even though entry level base commissions have been cut, insurance companies have not abandoned all monetary incentives for their outside sales representatives.