Affordable Care Act

Posted December 27th, 2013 in Producers, Employers

The Small Business Health Options Program (SHOP) is a part of the healthcare reform law that is supposed to help small businesses provide affordable health insurance coverage to employees. Last month it was announced that the SHOP Exchange would be delayed until November 2014; however, this statement requires clarification as some of the core features of the SHOP are still available. 

Posted December 18th, 2013 in Producers, Employers, Individuals

Healthcare Reform, Obamacare, Affordable Care Act, thingamajig, whatchamacallit, no matter your choice of nickname—it’s unavoidable this holiday season. Much like those ugly sweater holiday parties that force you to raid a family member’s closet or a local thrift store, your treasure hunt is now for the best, most affordable health insurance for yourself, family members, employees and/or clients.

A recent article gave insider tips on how to shop at a thrift store. A lot of these same practices apply directly to the insurance shopping experience under the new health law.

Note: All of the tips that the source article gave for shopping at a thrift store are listed within parentheses.

Posted November 26th, 2013 in Employers, Individuals

During the holidays, when you are face-to-face with family members, even a “simple” healthcare reform question may land you in the middle of an escalated political debate. You may even be the go-to person for these questions if you are known to be up-to-date with the latest news.

Posted November 19th, 2013 in Producers, Employers, Individuals

Last week, President Obama announced that Americans can keep individual health insurance policies that they were told will be canceled because they failed to meet requirements established by the Affordable Care Act (ACA).

Posted October 30th, 2013 in Producers, Employers, Individuals

By this time most of us are starting to become familiar with the subsidies that are available to eligible individuals that enroll in coverage through the Health Insurance Marketplace, also known as the Exchange. Many of us have also heard the phrase:

“If your household income is within 400% of the Federal Poverty Level you may qualify for a subsidy in the Exchange.” 

This seems simple to understand on the surface, but this statement is packed with terms that require further definition. We’ve put together a summary to help you understand some of the key pieces of information within this statement.

Posted October 29th, 2013 in Producers, Employers, Individuals

The InsureXSolutions® private insurance exchange, operated by Flexible Benefit Service Corporation (Flex), has launched new resources which can be found at insurexsolutions.com.

There is no need to wait.

Posted October 8th, 2013 in Producers

The 2014 Medicare Annual Enrollment Period (AEP) is just one week away and there is a lot of confusion among seniors in regards to their benefits. With all of the news and other programs focusing on driving people to the Public Exchanges that are now open for business, it is easy to understand why.

The individual mandate requirement of the Affordable Care Act (ACA) has everyone clamoring to find out how it applies to them so communication to senior clients is very important.

Posted September 5th, 2013 in Producers, Employers, Individuals

Last week, the U.S. Department of Treasury published final guidance on the Individual Shared Responsibility requirements, also known as the Individual Mandate. The Affordable Care Act (ACA) mandates that most U.S. citizens and permanent residents have a qualified health plan starting in 2014 or face financial penalties.

Posted August 2nd, 2013 in Producers, Employers, Individuals

On Monday, July 22nd, 2013, Governor Pat Quinn signed legislation that will expand the Medicaid program for residents of Illinois starting in 2014. Illinois is now the 23rd state that has decided to move forward with the expansion of its Medicaid program.

The Affordable Care Act (ACA) provides federal funds for states opting to expand its Medicaid program. Federal funds will pay for all of the costs to cover newly eligible people from 2014 to 2016. The federal funds will then start to gradually drop from 2017 until 2020 where it will level off at a 90% payment rate from that year and moving forward. 

Posted July 10th, 2013 in Employers, Producers

The initial Patient-Centered Outcomes Research Institute (PCORI) fee for plan years ending after September 30, 2012 will be payable by July 31, 2013. Employers are required to pay this fee on plans that are considered to be self-insured.

Insurance companies will pay the PCORI fee on fully insured plans. However, the updated Form 720 in which the fees are paid gives the impression that employers are also responsible for this fee on fully insured plans.

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