Kevin Knauss: Health, History, Travel, Insurance
Posts related to the Covered California application, consumer account, estimating income, household size, monthly subsidies, health plans, Medi-Cal, and terminations.
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 […]
Many parents are surprised to learn that their children are placed in Medi-Cal after completing the Covered California health insurance application. Medi-Cal eligibility is determined by the monthly household income, not the annual Modified Adjusted Gross Income. If the monthly household income is below 266% of the federal poverty level (FPL), but above 138% of […]
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 […]
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 […]
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 […]
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 […]
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 […]
It’s great news that both Healthcare.gov and Covered California are offering a Special Enrollment Period (SEP) for individuals that are becoming aware of the individual mandate penalty for not having health insurance. Unfortunately, there will still be individuals and families that enroll during this SEP that will get hit with the IRS Shared Responsibility Payment (SRP) for […]
The Affordable Care Act has helped provide health insurance to millions of America’s citizens and residents. The accompanying bureaucracy has also created mental health meltdowns for thousands of individuals and families. Through a series of website glitches, bureaucratic rules and purposely designed narrow provider networks, the ACA is delivering unparalleled amounts of stress, anxiety, and for […]
It’s been over seven months since I heard anything from Covered California’s SHOP program and the commissions they owe me from the small group I helped enroll in their small business health options program. The lack of communication from SHOP is a flash back to over forty years ago when I wouldn’t hear from my […]
