short-term health plans

Posted December 11th, 2018 in Producers, Individuals

Illinois state legislators passed a law last month which makes several changes to short-term medical (STM) plans. The most significant change limits the maximum duration of coverage to periods that are less than 181 days (i.e. 180 days). This change applies as of November 27, 2018, which is the date the law was enacted. The immediate effective date did not provide a window of time for insurance carriers to adjust their STM plans to the shorter durations of coverage.

Posted August 7th, 2018 in Producers, Individuals

Last week, the Trump administration issued final rules which extend the maximum duration of short-term medical plans (STM plans). STM plans can now have an initial coverage period just shy of one year (364 days). Taking into account renewals, STM plans can have a maximum duration of up to 36 months.

Posted June 5th, 2018 in Producers, Individuals
We all know health insurance has an expensive price tag. Even plans with high deductibles and/or small provider networks can come with costly premiums. And for people who don’t have an employer chipping in for coverage, or for people who don’t qualify for premium assistance on the Affordable Care Act’s Health Insurance Marketplace, those premiums can be in the tens of thousands of dollars.
 

Enter Packaged Health Insurance

 
Posted March 22nd, 2018 in Producers
If you make your living selling individual health insurance policies, then you know the Affordable Care Act (ACA) has wreaked havoc on the individual market. With skyrocketing premiums, narrowing carrier networks, commissions being cut and some carriers exiting the market altogether, the future seems uncertain. 
Posted March 13th, 2018 in Producers, Employers, Individuals
The Idaho Test – Last Thursday, the Centers for Medicare and Medicaid Services (CMS) shot down the state of Idaho’s plan to allow for the sale of health insurance plans which don’t comply with the Affordable Care Act (ACA). Idaho officials wanted less expensive plans to be available for purchase in their state, but these plans could use medical underwriting and wouldn’t have to cover all ten of the essential health benefits.
Posted January 18th, 2018 in Producers, Employers, Individuals
Originally posted on October 13, 2017
 
President Donald Trump signed an executive order on October 12th instructing the Department of Labor (DOL), Department of Treasury (DOT), and Department of Health and Human Services (HHS), known as the tri-agencies, to review and potentially revise existing regulatory guidance. This includes:
 
Posted January 10th, 2017 in Producers, Employers, Individuals
Significant changes to short-term medical plans (STM plans) have been finalized for 2017. 
 
STM insurance plans with effective dates:
 
  • Prior to April 1, 2017, may be issued for longer periods of time so long as the length of coverage does not extend beyond December 31, 2017. 
  • On or after April 1, 2017, must be limited in duration to periods of less than three months, and that duration includes any renewed coverage.
 
Posted December 20th, 2016 in Producers, Employers, Individuals
The health insurance industry saw quite the year in 2016. Here are some of the highlights:
 
  1. ACA reporting had to be submitted for the first time which was an administrative struggle for several employers, but most were able to find a way to get it completed.
     
  2. Several Co-Ops, including Land of Lincoln Health, were forced to shut down due to solvency problems. 
     
  3. Most insurers reduced or eliminated commissions on the sale of individual health insurance plans as a result of profit losses.
     

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