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California Health Insurance

Posts specifically related to California health insurance, enrollment, premiums, plans, termination, Covered California, Medi-Cal, Medicare, small groups.

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Insurance Agent, Broker, Producer, What are the differences?

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Occasionally, I am asked whether I am an insurance agent or a broker. The underlying premise of the question is that the person does not want their insurance options limited to only those insurance companies the agent represents. The assumption is that a broker will not steer the client into an insurance policy that he or she receives the highest commission for. For the purposes of this discussion involving health insurance, there are no brokers, we are all agents. But not all agents are equal when it comes to the health plans they represent.

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Will Travel Insurance Protect You From Corona Virus Disruption?

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You have selected a destination that has been under a Warning Level 3 within the last six months from the US Centers for Disease Control and Prevention (CDC). Disease outbreaks related to the CDC warning are not covered under this policy. For more information, please visit: CDC travel notices.

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Calculating Health Insurance Premium Tax Credit Subsidy With New IRS Forms

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On the old 1040 tax forms you report any repayment of excess Premium Tax Credit on line 46, and any additional PTC owed to you on line 69. For 2018, repayment of the PTC subsidy is reported on Schedule 2 Tax (line 46) and additional subsidy tax credit is listed on Schedule 5 (line 70) Other Payments and Refundable Credits. It’s important to know where to find these numbers if you are trying to forecast for the next year and are using the past figures as a guide.

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Large Families Get A Triple Bonus Through Covered California

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So here is the third subsidy bonus for large families. Not only are you billed for only three children, but you get a larger subsidy based on the entire household size. When you combine that with the inflated Silver plan rates, relative to the lower off-exchange Silver plans, large families get a nice subsidy to lower their health insurance premiums. You don’t pay for any more than three children, but you get the Premium Tax Credit as if the whole family were being billed for health insurance.

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Stanford Hospital & Doctors Available Only With Health Net PPO

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The Health Net PPO, not to be confused with the EnhancedCare PPO offered through Covered California, is the only plan that will give plan members access to both the Stanford doctors and hospital. These plans are only sold off-exchange or directly from Health Net. Plan enrollment is limited to certain regions and counties within California.

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Tips For Families To Lower Their Health Insurance Premiums For 2019

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Not all family members have to have the same carrier either. Some family members can enroll with a more expensive PPO plan while other individuals enroll in an HMO from the same company or completely different carrier. I have clients where some family members have chosen the Blue Shield PPO plan and other household members are with a less expensive Kaiser plan.

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Substance Abuse Treatment Driving Up Cost of Health Insurance

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The underlying assumption is that honest and ethical people will continue to pay their premiums even after their health care challenge has passed. But these people who cancel the health plan after treatment don’t value health insurance and don’t understand the financial structure necessary to keep the rates low for everyone. Their actions of terminating health insurance after they have received their expensive health care services are driving up the rates for everyone.

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Health Insurance Denied For Past Due Premiums

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In December, during the Open Enrollment Period, she enrolled in the previous health plan for the 2018 year. The health plan took her first month’s premium payment, applied it to her past due balance, and then terminated her coverage at Covered California. Under the new rules the health plan is within their rights to take her money and deny her coverage for 2018.

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Covered California Predicts 30% Rate Increases Without Federal Stabilization

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A glaring deficiency in the report is the failure to attribute any decline in enrollments, either on the federal level or at Covered California, to an improving economy. Unemployment is at record low percentages and more people are working for employers who offer group health plans. Covered California’s own small group plans have seen increased enrollment since its inception in 2014 and their budget report estimates continued enrollment growth.

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Commissions Cut Again For Covered California Health Insurance Agents

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The health plans and Covered California may give lip service to the value of the agent community, but it is not reflected in the compensation we receive. I’m not trying to get rich as an insurance agent. My net revenue listed on my Schedule C for 2016 was $34,000. If the new compensation schedules significantly erode my insurance revenue then I will have to find other income streams. Maybe Covered California will hire me to answer phone calls; I hear they have a great benefits package.

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