health insurance marketplace

Posted September 13th, 2023 in Producers, Individuals

It’s hard to believe that another Health Insurance Marketplace (Marketplace) open enrollment period is quickly approaching. The federally facilitated Marketplace will have an open enrollment period that starts on November 1, 2023, and it ends on January 15, 2024. During this time, individuals and families may enroll in an individual health insurance plan or make changes to existing coverage without a qualifying event.

Posted January 25th, 2023 in Producers

Reporting requirements from the Affordable Care Act (ACA) are rapidly approaching. Health Insurance Marketplaces, health insurance carriers, and employers may be subject to the reporting. The reporting is due February 28, 2023 if filing manually and by March 31, 2023 if filing electronically. Electronic filing is required for entities that are filing 250 or more forms.

Let’s get to the ABCs of the reporting.

Form 1095-A

Posted July 13th, 2021 in Producers, Individuals

On June 28, 2021, the Department of Health and Human Services (HHS) proposed new rules that would primarily impact individual health plans that are sold through Health Insurance Marketplaces. The proposed rules aim to lengthen the annual enrollment period, expand Navigator duties, and minimize any burden or confusion for consumers. A summary of some of the key provisions has been outlined below:

Posted March 16th, 2021 in Employers, Producers, Individuals

On March 11, 2021, President Joseph Biden signed into law the American Rescue Plan Act (ARPA). ARPA is the third stimulus package signed into law in response to the COVID-19 pandemic. Under ARPA, two significant provisions were included that will help more Americans obtain and pay for health insurance coverage.

Posted August 27th, 2019 in Individuals, Producers

The Centers for Medicare & Medicaid Services (CMS) announced earlier this month that plans sold on the Health Insurance Marketplace (Marketplace) will receive quality ratings using a five-star system (with  5 stars representing the highest quality plan).

Posted September 26th, 2016 in Producers, Employers, Individuals
The cornerstone of the Affordable Care Act (ACA) is arguably the Health Insurance Marketplaces, also referred to as the Exchanges. Effective 2014, previously uninsurable individuals could start enrolling in a health insurance plan without regard to their medical history, and people who had trouble affording coverage could receive subsidies to reduce their out-of-pocket costs and/or premiums if certain requirements could be met.  
 
Posted August 29th, 2016 in Producers, Employers, Individuals
In 2013 and 2014 the word “exchange” was being used everywhere in the health insurance industry. Now, just a couple of years later, that term isn’t being used as frequently as it was just a couple years prior. Why? For one, the federal government decided the phrase “health insurance marketplace” or “marketplace” was what they would start calling their exchange. The media and general public also seem to associate the word “Obamacare” as being synonymous with the government-run exchanges. Additionally, private exchanges are not experiencing the growth rates that many had projected.
Posted April 4th, 2016 in Producers, Employers, Individuals
H&R Block®, the largest tax services provider in the country, has indicated that so far this year the average penalty paid by those individuals without health insurance in 2015 is $383. The average penalty paid in 2014 was $172, reflecting an increase of $211 from the previous year. The penalties will be steeper in 2016 being the greater of $695 or 2.5% of income.  
 
Posted January 16th, 2015 in Producers, Employers
February 15 is slated to be the final day for the 2015 open enrollment period. Luckily for small business owners there’s still time to take advantage of an affordable health care solution.
 
Posted January 9th, 2015 in Producers, Employers
The IRS has issued proposed regulations that will introduce a new excepted benefit available to some employees who purchase individual market coverage. Excepted benefits are exempt from most of the requirements and obligations under the Affordable Care Act (ACA).  
 

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