Overview: Unemployed? Here are 3 things you could do when your COBRA’s premium health insurance ends Sept. 30
Switch to an Affordable Care Act policy once your free coverage ends
Qualify for a special enrollment period (SEP)
Talk to your plan administrator and/or former employer
When Sept. 30 rolls around, it’ll be goodbye to that premium health coverage from COBRA and hello to many, many questions (and a bit of financial panic for the unemployed). But we’ll start by saying you shouldn’t panic — there are options that unemployed individuals could and should begin to consider now.
Keep these things in mind: It’s true that after Sept. 30, the group health plan can charge the usual COBRA premium for the coverage. And the premium assistance lasts through Sept. 30 but may end sooner if you reach the end of your maximum COBRA continuation coverage period which is, generally, 18 months.
3 HEALTH INSURANCE OPTIONS FOR THE UNEMPLOYED AFTER SEPT. 30
Option 1: Switch to an Affordable Care Act policy once your free coverage ends.
The special enrollment period for Affordable Care Act coverage ends Aug. 15. Here’s why it’s a useful option: ACA policies — by contrast to COBRA coverage — are typically subsidized with tax credits that make the coverage more affordable.
In one particular case, a spouse lost their job and was on COBRA continuation coverage for health insurance. They didn’t have to pay the premiums (through Sept. 30) as a result of the American Rescue Plan (passed in March). The question was asked if there was anything available on Oct. 1 if the spouse was still unemployed by that time.
The American Rescue Plan requires employers to pay COBRA premiums for eligible former employees for April through September. The employers will be reimbursed through a tax credit. (The subsidy may last fewer than six months if someone’s COBRA eligibility ends before September, or if they become eligible for group coverage through their job or their spouse’s job.)
When the premium-free coverage ends, the spouse would qualify for a special enrollment period that allows them to switch to an Affordable Care Act policy. Not only that, but anyone who is unemployed at any point during 2021 will qualify for a premium-free comprehensive policy through the ACA for the rest of the year.
Option 2: Qualify for a special enrollment period (SEP) to enroll in individual market health insurance coverage, such as through a Health Insurance Marketplace®.
When your COBRA premium assistance ends, you may be eligible for a SEP to enroll in coverage through a Health Insurance Marketplace®, or to enroll in individual health insurance coverage outside of the Marketplace. You may also qualify for a SEP when you reach the end of your maximum COBRA coverage period. Below are links to additional information.
Option 3: Talk to your plan administrator and/or former employer
Karen Pollitz, a senior fellow with the Kaiser Family Foundation, said some employers and COBRA administrators were still working out the details. If you believe you are eligible for the subsidy that ends after Sept. 30 and haven’t received a notice with the required forms, you can notify your former employer. In more detail, Pollitz encourages individuals to:
Notify their former employer
Fill out and sign this form, published by the Department of Labor
Turn the form into your plan administrator if you’re already enrolled in COBRA
Send the form to your former employer if you’re trying to sign up
Pollitz said if you have a relationship with your provider, you could also ask if it’s possible to wait a little longer to bill your insurer until the COBRA coverage kicks in.
DO YOU HAVE A TRUSTED HEALTH INSURANCE AGENT TO GUIDE YOU WHEN YOUR PREMIUM HEALTH INSURANCE ENDS?
Remember: The Affordable Care Act is over 60,000 pages long. Medicare is written over tens of thousands of pages. And Insurance Laws and Regulations are profoundly extensive. So if you’re wondering what to do when COBRA’s premium health insurance ends, we can help.
We understand that there is not a single “best” plan when it comes to health insurance — and it’s even more complicated when unemployment is involved. And we understand that your needs are unique.
This is where we come in. Contact us to get your questions answered! We’ll offer our expertise in health insurance so you’re taken care of during these complicated times.
Life insurance serves as a safety net to the dependents of an employee in the case of their death. This is especially necessary for those who have families that rely on their income for support. And most often, such assurance is built through one’s employer. That’s why, for most job seekers, they require that their future employer offers life insurance.In this article, we will discuss the different types of employee life insurance and ways that it can be purchased.
Many employers offer basic life insurance to their employees as part of their benefits package either for free or at a very low cost. This is typically a predetermined, fixed amount that usually equates to the employee’s salary. For most people, if they are single and have no dependents, this initial amount is plenty, and they are unlikely to purchase more coverage. However, most companies provide the option to buy supplemental life insurancefor whoever requires it– typically those with children.
The benefit of offering employee life insurance:
Providing life insurance to potential employees will attract talented professionals and make your business stand out as a preferred employer. That’s because job seekers everywhere hope to have peace of mind in the case of their death and assurance that their loved ones will be financially cared for. This financial cushion for the employee’s survivors is an essential aspect of their benefits package. So, keep in mind as an employer, that not only will providing life insurance be attractive to potential employees, but it may be expected as well. Life insurance, however, is not offered in one fixed way. There are a variety of means for providing life insurance to employees.
Ways to purchase employee life insurance:
Term Life Insurance– This is the simplest way to buy life insurance as it does not involve an investment component. Most financial advisors will recommend opting for this variety as it is uncomplicated and sufficient for the needs of most employees. Term life insurance suggests that the employer of the insured pays a monthly, quarterly, or annual fee for the agreed-upon amount of coverage. While no investment or cash value will accumulate or build in this type of insurance policy, the account is paid in full back to the survivors upon the death of the employer.
Short Term Life Insurance– These policies work like term life insurance, with the exception that they have a time limit of some sort. In some facets, the premium fee increases gradually with the age of the employee. In others, there is an expiration date, typically at the age of 70.
Permanent Life Insurance– These types of policies build gain value over time and tend to be more expensive. And especially older patients will need to pay a significant premium fee for their benefits. There are various types of permanent life insurance plans. The most common, however, are whole life, variable life, and universal life.
Types of Permanent Life Insurance:
Whole Life Insurance– This type of insurance is considered an investment because it will accumulate money that can be withdrawn in the case of an emergency. As long as you pay the premium, it will cover you for your entire life. However, you can initiate the end of the policy if you choose to cash in on it before you die. Despite this potential perk, most experts would not consider this a particularly good investment as the rate of return is typically pretty small.
Variable Life Insurance– This, like any policy, will provide money to an employee’s beneficiaries when they die. It is referred to as variable because it allows the insured to distribute the premium paid to a separate account, which could be composed of multiple investment funds. These could be a stock fund, money market account, or a bond fund. The value of this policy will depend on one’s investments, in addition to the minimum required by the insurance company.
Universal Life Insurance– This facet comes with a savings component that builds on a tax-deferred basis. So, a part of the employee’s premium will be invested by the insurance company in bonds, mortgages, and money market funds. And this return rate from these investments will be awarded to the policyholder on a tax-deferred basis. But, despite the performance of the company’s investments, the employee will still receive a minimum return of 4 percent.
Employee life insurance, among all company-provided health benefits, is appreciated and sought after by job seekers everywhere. In fact, in most cases, it is expected and necessary, especially among those with several dependents. So, as an employer, be sure that you can offer your employees and future team members the peace of mind that life insurance brings. If you have any concerns or questions regarding this subject, please do not hesitate toreach out to us at Bernardini and Donovan. Our team of experts is prepared to assist you as you prepare to offer your employees life insurance!
One of the most significant selling points of any insurance is that it brings peace of mind. Knowing that your well being and costs are being taken care of should anything happen to you or your family helps provide a sense of comfortable peace. But it would be foolish to assume that your Insurance will Cover Everythingthat could go wrong. Thatâ€™s why you want to know exactly what is included in your home insurance and what your deductible is with your car insurance. There is the same train of thought with your health insurance. There are basics of your health coverage that you can always expect. Most of that includes preventative care such as doctorâ€™s visits and hospitalization. However, not all care is covered.
There may be times that your doctor recommends a Specialist for surgery or some other care-related need. If they recommend someone outside of your coverage, you can find yourself in a tricky situation. One of our first recommendations is to ask your doctor if they can recommend anyone that is within your coverage. If they do not know anyone, then you can ask your insurance company to do the leg work. Ask them for a specialist that is within your insurance coverage. You can even ask them to cast a broader net to surrounding areas if you feel like you are not finding the specialist that is right for you. If you find someone within your coverage, great! Meet with them and make sure that you feel entirely comfortable with them and ensure that they feel confident in your treatment.Â It can also be in your best interest to at least see the first recommended specialist. They can serve as a second opinion.
If you do end up paying out of pocket, try to negotiate the best price possible before the surgery. Go over every possible expense and work with the hospital to ensure that any discounts that are available are applied. Also, please do not ignore the hospitalâ€™s collection department. It may seem like they are just like every other collection agency out there. However, they are trying to help you! They can help set you up on a payment plan as well as lower the cost of the final amount that you owe the hospital. It is in your best interest to become one of their favorite clients.
We hope that these ideas help you if you should ever find yourself needing care outside of your coverage. If you ever need to readdress your health care insurance needs, please always feel free to call us.
As the time comes for open enrollment or to renew your health insurance, here are some helpful hints to look at before your purchase a plan.
Look before you renew
As the landscape for health insurance continues to change it is important that you make sure that your fully check out your options before opting to renew. Not only do the options available in your plan change from year to year but your personal circumstances change. You may have moved, found a new job, or had a child and all of these can change what you need from your provider. Also, if your plan is being replaced make sure you fully look over what it is being replaced with so you are not surprised later down the road and find that what you need is not covered.
Doctors and prescriptions, oh my…
You will want to make sure that your preferred doctor accepts that coverage before you enroll. And going to a doctor outside of your coverage can cost you substantially more that going in your plan. Also, you will want to know what your prescription medication is going to cost you. Most companies will assign medications to a different level or tier so that between different companies the medication you need may be covered but it may be on a different tier and therefore would cost you much more.
Consult an insurance broker
When the Affordable Care Act come into effect its purpose was to let people comparison shop relatively easily for different health care options. However, the health care market is wide and varied and you can very easily not see a special savings or find out that what you need is not covered when it is too late. Health Insurance brokers are working hard to stay ahead of the changes in the law, know all the different nuances of plans being offered and want to help you find your best fit. Contact us at Bernardini & Donovan and let us help you look beyond the bare essentials to finding a package that fits you and your family perfectly.
Change is inevitable. Each day when you wake you just can’t be sure what that day will bring. Granted, sometimes you get a heads up. Like when you see the storm clouds brewing off in the distance, it’s a good idea to bring your umbrella. Or when you hear of a huge traffic hold up on your normal commute, you avoid that route and take the side roads. So here is your heads up when it comes to Covered California rates. They are going up to the tune of 13.2%
For the past two years California has been able to negotiate to keep the rates in an affordable increase averaging around a 4% increase. However, the legislation that allowed for them to do that is now is now expiring. With these rate increases we will see California’s rates being more comparable to the rest of the nation whose rates have been rising steadily over the past few years.
Also, if you are small business owner with 50-100 employees, the laws are changing for your health coverage. If you have 50 and up to 100 full time eligible employees then it is required that you provide health insurance for your employees.
So why are these changes happening? Peter Lee, the executive director of Covered California says that “Under the new rules of the Affordable Care Act, insurers face strict limits on the amount of profit they can make selling health insurance… We can be confident their rate increases are directly linked to health care costs, not administration or profit, which averaged 1.5 percent across our contracted plans.”
Of course as our country continues in our heated political race this discussion will continue to play a part as the presidential candidates weigh in on the effectiveness of the Affordable Care Act. With this change coming it will be interesting to see the full effects of these coming changes.
Looking into insurance for your employees at your small business? What does Covered California have to offer you as a small business employer? Well, we are glad you asked. Here is some basic information about what you could expect:
First, let’s define a small business. Covered California defines a small business as any business with under 100 full time equivalent employees which is a W-2 employee working 30 hours a week measured on a monthly basis. Covered California offers a variety of health insurance plans to puts you in charge of your health insurance budget while letting your employees get to choose from affordable, quality, and popular health insurance plans from private health insurance companies. The plans have levels of Bronze, Silver, Gold or Platinum. As an employer you can chose one or two plan levels of coverage to offer employees and define the amount they will contribute towards their employee premium. At that point the employee has the choice of which plan will meet their families needs. But regardless of the plan that they choose, all the plans offer these 10 basic benefits:
1. Doctor Visits
2. Prescription Drugs
3. Emergency Services
4. Pediatric Care with Dental and Vision
5. Lab Services
6. Maternity and Newborn Care
8. Preventive and wellness care
10. Mental health and substance abuse services
You can enroll in Covered California at any time and the coverage will last for the 12 months following when you signed up. You can also add new employees to the program throughout the year as they get hired. You may even be eligible small business tax credit to offset the cost of providing insurance. To find out more about Covered California, more of what is offered, if this could be a good fit for your business and what is needed to qualify for the small business tax credit contact us at Bernardini & Donovan. We are experts in all the ins and outs Covered California and can help you make the best choice that fits your unique situation.
When you run a small business there are a lot of different things on your plate and you wear a lot of different hats. Who is going to make sure the photo copier gets fixed? You are. Who is going to ensure that those invoices get paid? You are. Who is going to oversee the marketing and branding of your business? You are. And who is going to make sure that your employees are cared and happy? You are. When you are looking at the well being of your employees one of the first things that comes to mind is to offer health insurance. But in this new world of health insurance laws offering this benefit to your employees can bring with it additional costs and premiums for you, confusing jargon and still may not be exactly what your employees want.
When the Affordable Care Act was first brought on to the scene many small businesses opted to no longer provide health coverage for their employees. That was because they were given very little incentive at that time and little time to fully understand the programs they would be signing up for. Additionally, their employees could now pick their own insurance program.
However, some employers in the past few years have started to look at how they might be able to offer their employees either some form of coverage or help with paying for health insurance. The benefits for them were that they wanted to help their employees with their financial burdens. Only around 44% of Americans today say that they feel in control of their finances. This was also a great way for them to make themselves stand out when looking to hire new employees and retain the employees they already had.
If you are a small business owner and want to look into the different options available to you come speak to us at Bernardini & Donovan. We want to ensure your success and the happiness of your employees by offering the best health care solutions for your unique situation.
The healthcare marketplace officially closed on January 31. That can mean big trouble if you did not enroll in a healthcare plan and do not have one through an employer. However, there are ways you can enroll after the enrollment deadline. There are some catches though. There is a special enrollment period outside of the open enrollment period. To be able to sign up for health insurance through the marketplace after the open enrollment period, you must have a qualifying life event.
What is Classified as a Qualified Life Event?
There are some common life events that allow you to enroll after the deadline. Some of these include, but are not limited to, the following:
Getting married (or divorced)
Losing health insurance coverage from another party
Having a baby
Adopting a baby or placing one for adoption
Losing coverage due to age (i.e. turning 26 and losing parental coverage)
Moving to another region (there are stipulations with this one)
Gaining U.S. citizenship or a lawful presence
Having a major income change
Having a “complex” situation that prevented you from enrolling before the deadline
What To Do NextIf you qualify for one of these special circumstances, you should enroll as soon as you qualify. There is still a window of time where you can enroll based off of the life event but if you miss it, you will either have to wait for another life event or open enrollment the following year. If you do not qualify for any of these life events, you will either need to find employment where you can enroll in a plan or pay the fee during tax season. Also, be sure to mark your calendar for the next open enrollment period beginning November 15.Tax PenaltyYou should be as prepared as possible for the penalty for not enrolling in a plan. This year, the amount has increased per person. There are two ways to calculate it and you pay the penalty that is greater of the two options. The first way this is determined is through a calculation of the percentage of household income. For 2016, the percentage has increased to 2.5%. The maximum deduction through this method is equal to the total yearly premium of a Bronze plan through the marketplace (the national average). The other way this is calculated is per person. For 2016, the rate is $695 per adult and $347.50 per child that is under the age of 18. The maximum penalty for the household through this method is $2,085.Health insurance is required by law. If you missed the deadline and have questions about enrolling, contact us to explore your options.
Experts encourage people to review their insurance policies at least once per year. The same rings true for your healthcare insurance. The best time to really do this is during open enrollment when you can actually change to a better or more affordable plan. Importance of Reviewing Your OptionsWhen it comes time to re-enroll, it is very important to take a look at your current plan and the other options that are out there. There are several good reasons for this. First, you may find a better plan that will fit your needs more efficiently. Second, you may find a cheaper plan that you can better afford. Keep in mind that it is highly likely that the premium for your current plan has gone up and you will have to pay more throughout the year. Thirdly, you may find the best of both world’s and find a plan that is both less expensive and better for your needs. If you do not take a look at your options, you may be missing out on a better, less expensive plan.
Changes for 2016
No matter what you do, be sure that you are enrolled in a plan. This year, the penalty during tax season will be even higher than it was in 2016. If you miss the enrollment period, then you may still be able to qualify for a plan but you will have to meet certain requirements. These requirements are very specific. If you miss the deadline, be sure to contact an agent at B&D for assistance. For more information on this, please view one of our previous blog posts.
Getting Help Reviewing Your Policy Options
You do not have to review your policy on your own. You can use the help of professionals who have a better understanding of the terms and everything that is included in the plan. They will be better able to determine if your needs are met and how to meet them. It is always better to use a professional if you do not understand your policy or the other options that are available. If you need assistance, please contact us at B&D and we will be happy to help. We will review your policy and discuss all available options for you.
One of the key components to making sure that you have the health insurance that you need is making sure that you understood all of the options that were available to you in the first place. Because many Medicare-related plans all have similar sounding names, it can be easy to confuse one from the next. By learning a little bit more about Medicare Advantage including what it does and who it is for, you can help find out if it is a right fit for your own personal situation.What is Medicare Advantage?At its core, Medicare Advantage plans are those that are offered by private health insurance companies that provide you all of the same benefits that you would receive under Original Medicare. Medicare Advantage health plans have HMO and PPO options. Another important thing to understand about the Annual Enrollment Period is that it isn’t just for new Medicare patients. If you’re already on Medicare and want to change either your health plan or the type of prescription drug coverage that you currently have, you can do that between October 15 and December 7 as well. Any changes that you make will go into effect at the stroke of midnight on January 1, 2016.During this time you can make a host of different changes to your plan. If you do not already have prescription drug coverage, you can easily join a Medicare prescription drug plan. You can switch from one drug plan to another and can even disregard all prescription drug coverage if you determine that is the best path for you to take. If you’re already on Original Medicare and are completely happy with the way things are going, you also don’t have to make any changes if you don’t want to. More than anything else, the Medicare Annual Enrollment Period is about making sure that you have the options available to you to get the coverage that you need when you need it the most.Who is Eligible for a Medicare Advantage Plan?In order to join a Medicare Advantage Plan, there are a few important qualifications that you have to meet. For starters, it is required that you live in the service area of the type of Medicare Advantage Plan that you’re trying to join.Another qualification is that you must already have Medicare Part A and Medicare Part B. Â Finally, people who have ESRD or “end stage renal disease” are not qualified to sign up for a Medicare Advantage Plan and will need to pursue other options that are available to them.At Bernardini & Donovan Insurance Services, our primary goal is to help simplify your insurance and healthcare needs whenever possible. If you’re trying to determine whether Medicare Advantage is right for you, or if you’d just like to sit down with someone and discuss your options further, please call us today.
let Bernardini & Donovan find the right plan for you
Below you can choose which kind of cookies you allow on this website. Click on the "Save cookie settings" button to apply your choice.
FunctionalOur website uses functional cookies. These cookies are necessary to let our website work.
This content is blocked. Accept cookies within the '%CC%' category to view this content.