Open Enrollment for 2015 in Georgia: Marketplace Plans

This post is geared towards people who might qualify for a health insurance subsidy based on their income. What I wrote below is actually an email I sent to my clients who currently have an Exchange policy they purchased within the past year.  I thought it might be helpful for others in a similar situation.  If you know someone who needs health insurance, but they think they can’t afford it, please direct them to this post. Thank you!

Is Medicare Open Enrollment Really That Confusing?

Open Enrollment for Medicare is quickly approaching. Otherwise known as the “Annual Election Period” or AEP, the season to make changes to Medicare Advantage Plans and Prescription Drug Plans (Part D), runs from October 15 through December 7.

I read an article in the New York Times today that gives some good basic information about Medicare Open Enrollment (not to be confused with open enrollment for those under age 65), so I’m providing the link here

2015 Health Insurance Rates in Georgia: An Early Look

It’s the middle of August and Open Enrollment is still a few months away, but in my world, the emphasis is on PREPARATION!  For those people who have personal health insurance plans, Open Enrollment is the period of time when almost everyone will want to evaluate their plan options for the next year.  The time to do this has been compressed into a very short span of time — from November 15 to February 15.  The vast majority of people will make their decisions before December 15,

Play or Pay for Personal Health Plans — Penalty Going Up in 2015

In 2014, choosing not to have a compliant health insurance plan was (and is) a viable option for many people.  The tax penalty — or to use the proper name — the “Individual Shared Responsibility Payment” for 2014 was not very high.  Some people decided to take the risk and go without coverage, while some decided to get a low-cost non-compliant plan.  Either way, the penalty wasn’t a huge deterrent.

The penalty is increasing significantly in 2015,

Can Employers Pay for Employees Individual Health Policies Pre-tax?

The IRS recently issued clarification on whether or not employers can contribute money (or reimburse payments) for employees who have individual (non-group) health insurance on a pre-tax basis.  The answer is no, they will not allow it.  See this article for details.

Many employers are sick and tired of the increasing costs of providing health insurance to their employees — this is well known.  However, employers with fewer than 50 full-time equivalents (FTEs) are not required to offer health insurance and they can drop their group coverage —

Short-term Medical Can be a Good, Money-saving Strategy

Short term major medical insurance, also known as temporary insurance, is a product worth considering for people who don’t have a good group plan available to them. Short-term medical provides coverage up to one year.  However, in Georgia, there is only one decent carrier that offers this type of insurance for up to one year.  There are a few carriers that offer coverage up to six months.

This type of coverage is not ACA-compliant (Obamacare),

Buying Health Insurance Outside of Open Enrollment

The official Open Enrollment deadline to purchase personal health insurance was March 31, but there were a couple of extensions and exceptions made.  Now, we’re well past the deadline and extensions, yet there are plenty of reasons why someone may need to purchase health insurance between now and the next Open Enrollment — which is November 15 to January 15. CMS calls these reasons “qualifying events”. A qualifying event triggers a “Special Enrollment Period”, so applications can be submitted either on or off the Marketplace.

Piedmont Hosptial Publishes Ratings & Reviews of their Doctors

Searching for a good doctor can be challenging.  Most of us rely on recommendations from our family doctor or our friends and family.  However, when you need a specialist, it isn’t always easy to get a good recommendation.  Well, Piedmont Hospital in Atlanta is now publishing reviews and ratings for it’s doctors, so this will certainly help some people in their search.

Not only is it helpful to consumers during their search for a quality, reputable doctor,

How to Avoid an Insurance Policy Lapse

Early in my career, I met with someone who had a disability insurance policy cancelled due to nonpayment.  This cancellation (or lapse) occurred due to no fault of the policy owner.  To make a long story somewhat short, this guy – a professional musician with a symphony orchestra — moved to a new home and had given the insurance company the address change with plenty of notice.  His premium payment was set up on a quarterly direct billing mode. 

The New Year Brings Lots of Change in the Insurance World!

  

As we wind down 2013, I’d like to say thank you to all those who read my blog.  I’ve had many people, especially in the past few months, tell me they called because of information they found here. I am glad this information is useful for so many folks.

These past few months have been the busiest in my 14 year career as an insurance agent. Numerous people had questions about how the Affordable Care Act would impact them…which leads me to the subject of this post: Lots of Changes in 2014!