Sutter Health, a large medical group and hospital chain in Northern California, has applied to become an HMO/insurance company. According to this article, Sutter Health submitted its application to the California Department of Managed Care (DMHC) in August 2012. The article reports that DMHC has seen a significant increase in the number of applications to establish new HMO [...]
Everyone is concerned about the ever-rising cost of medical care and health insurance premiums. In this newsletter, we give links to a PBS documentary, podcasts from This American Life, and articles from The New Yorker that describe health care systems that provide high quality medical care at low cost. It [...]
United Health Care (UHC), the largest health insurance company in the US, yesterday held a webinar for agents on changes they will be making to their products to comply with the Affordable Care Act (ACA). This is the first time that I have seen a major carrier give specific [...]
I've written 4 articles on the Affordable Care Act (ACA) in the newsletter section of BenefitsCafe.com. The articles will help employers and individuals who purchase their own coverage understand a few aspects of the law. The articles include: Five Things Everyone Needs to Know about Health Care Reform (ACA) Five Things [...]
The State of California is hard at work to create the first government-run entity to sell health insurance as required by the Affordable Care Act (ACA). Since first created, the entity has been called the "California Health Benefit Exchange" (HBEX). The government felt that name was a mouthful so they hired a marketing firm, Ogilvey PR, to develop a catchier one. Click here to find out what the new name is and how the new name was chosen.
Blue Cross of California has announced that they will issue all of their small group clients (i.e., employers with 2-50 employees) a one-time credit of 18% of the monthly health insurance premium. The credit will be based on active enrollment in the Blue Shield plan on July 31, 2012 and it will apply to the September 2012 bill. Click for more details and resources about the Blue Shield credit.
To mark the two year anniversary of President Obama's signing of the Patient Protection and Affordable Care Act we've written a summary of the most important changes that impact individuals and small businesses who purchase medical insurance. Click through for an accounting of the changes that have occurred since 2010 and changes planned for 2014.
Visit a dentist or orthodontist with your young child and be told that braces are needed leads one to the question: Should I buy an individual California dental insurance plan to cover the cost of braces for my child? This article addresses this question by examining the cost and benefits of two separate individual PPO dental plans. Read about how much orthodontics will cost with dental insurance plans from Anthem Blue Cross, Blue Shield and Delta Dental to make an informed decision.
The California Pre-Existing Condition Insurance Plan (PCIP) was set up under the new Federal health insurance reform law (PPACA). It’s supposed to go until 1/1/2014 at which time there will be no medical underwriting and all insurance companies must take everyone without regard to pre-existing medical conditions – i.e., you can transition to a standard plan. For someone close to age 65, enrolling on this plan would take him/her until he/she is eligible for Medicare which is currently "Guarantee Issue." Read about eligibility and cost of the PCIP based on our analysis of this government program.
On April 7, 2011 California enacted Assembly Bill 36 which allows employees and the self employed to deduct the cost of health insurance premium for dependents under the age of 27. This conforms California state tax law with the Federal guidelines passed into law with the Patient Protection and Affordable Care Act (PPACA) that extend eligibility for group health insurance to adult children, regardless of student status, through age 26. Thank goodness that California legislators fixed the discrepancy between Federal and State law regarding the deductibility of dependent health insurance premium. Allowing the deduction means that California forgoes the tax revenue on adult children's health insurance premium. At the same time allowing the deduction removes a major head ache for employers who have been trying to comply with conflicting State and Federal guidelines. Read the post here.