Choosing Health Coverage For Your Small Business

Understanding The SHOP Marketplace

Small business owners across the country have been experiencing change as they are now legally required to comply with new regulations and requirements under the Affordable Care Act. Since the world of health insurance and health care has transformed completely, choosing the right small business health insurance plans to best protect your team is more challenging.

If you missed the open enrollment deadline on February 15th and are beginning to panic since you have not properly set up your small business plans, do not fret! We can still write you a policy for your small business.

A unique entity known as the Small Business Health Options Program (SHOP) Marketplace allows small business owners to obtain the coverage they are required to offer their team, despite missed deadlines. When utilizing plans offered in SHOP, you have the luxury of avoiding restricted enrollment periods and offer deadlines.

There are many benefits of utilizing the SHOP Marketplace in addition to full luxury to pick and alter coverage as you please. If you are currently satisfied with your insurance agent, feel free to enroll with them! The SHOP Marketplace does not require that you change agents; therefore, you can go through this process with the agency you trust most.

The SHOP Marketplace is the perfect way to obtain health insurance and comply with all requirements set forth by the Affordable Care Act if you have 50 or fewer full time employees. The same goes for nonprofit organizations, however, if you are self-employed you cannot utilize the SHOP Marketplace.

Please do not hesitate to give us a call if you are in need of enrolling for a SHOP plan for your small business. Contact Bernardini & Donovan Insurance Services in Redlands for all of your California health insurance needs. As Covered California experts, you can rest assured that we will be your guiding hand in the realm of health insurance and health care.

Do You Qualify For A Subsidy?

Discerning The Aid You Can Secure For Your Health Insurance

With the Affordable Care Act (ACA) changing healthcare in the United States, it can be difficult to understand exactly what kind of support the government can offer you. According to the ACA, the government now offers subsidies to make healthcare more affordable for eligible parties. These are tax credits that are available for lower income families and individuals.

To qualify for subsidies, you must live in the United States, be a citizen of the US or lawfully residing in the country, not be in jail, and have a household income level of four times the federal poverty level or less. This means that if your Modified Adjusted Gross Income is between 100% and 400% of the Federal Poverty Level you can qualify for tax credits to help you cover the expense of your health care.

How much reimbursement can you expect? The subsidies are based on a sliding scale. The government will determine what percentage the amount you pay for your health insurance is of your income, and offer increased subsidies the higher the percentage is. The sliding scale is based off of the cost of the second least-expensive silver-level plan that is available in your area.

If you would like help from the experts to discern if you qualify for a subsidy, a certified agent like the ones at Bernardini & Donovan Insurance Services is here to aid you. To understand what the ACA means for you, how not to miss an important deadline, and how to save on your premiums, do not hesitate to contact Bernardini & Donovan Insurance Services today. Located in Redlands, we are here to help you secure the best protection for you and your family today.

How Job-Based Coverage Affects You

What Does Your Employers Plan Mean For Your Subsidies?

For most, health insurance options through your workplace are good news. If, however, you had plans to secure subsidies to help you pay for an individual health plan outside of your work, your employer’s offer of coverage may be a problem for you. Make sure you do not opt out of health care through your work only to find yourself without tax credit.

How does qualification for health care subsidies work? According to the Affordable Care Act (ACA), anyone who is at an income level of 400% or less of the federal poverty levels can qualify for tax credits to help them cover the cost of health insurance. These subsidies are available in your specific state and can be applied for during the open enrollment period, which ends February 15th.

If, however, you work somewhere that offers affordable health insurance and you choose not to accept a plan through your workplace, you will not qualify for subsidies. The same is true if you are eligible for coverage through Medicare. The government is committed to helping every American get the health care he or she needs, but if you choose to opt out of perfectly good coverage there will be no aid for you. That is because your job-based plan counts as the now federally mandated minimum essential coverage. Securing a plan through your workplace will also help you avoid the tax penalties that could be assessed if you do not have coverage.

To understand how your employer’s coverage affects your subsidy eligibility and what to do if you want a plan other than the one offered through your workplace, do not hesitate to contact Bernardini & Donovan Insurance Services today. Located in Redlands, we are here to help you secure the best protection for you and your family today. Connect with a certified agent; call us today!

Using an Insurance Broker to Successfully Maneuver the Open Enrollment Period

If you are one of the many Americans who missed Obamacare’s first open enrollment period, it is important that you start preparing so that you can be ready when the second open enrollment period arrives. If you miss this second period, you will be forced to pay a penalty for each month that you do not have health insurance. Unless you qualify for the special enrollment period, you could be paying hefty penalties for several months until the third open enrollment period arrives.

The second Covered California open enrollment period starts on November 15, 2014 and will end on February 15, 2015. During this time, you must obtain health insurance in order to avoid the penalty. During the weeks leading up to the second open enrollment period, you will want to gather all important documents such as birth certificates, proof of citizenship, etc. If you find the market exchange confusing, an insurance broker can guide you through this complicated process.

We understand how confusing the laws and regulations surrounding Obamacare can be, especially if you have never purchased health insurance before. Many individuals who are inexperienced in purchasing health insurance benefit immensely by using a broker. Insurance brokers such as the experienced brokers at Bernardini & Donovan Insurance Services guide you through each step of the health insurance process, free of charge. Our experience makes us the perfect candidates to sit down and compare varying plans and policies with you, to ensure that you obtain the most affordable policy possible.

Contact Bernardini & Donovan Insurance Services in Redlands for all of your California health insurance needs. We are extremely knowledgeable in all regulations and laws surrounding the Affordable Care Act, which is why we are the perfect team to guide you in your health insurance endeavors. We can help ensure that your health insurance complies will all new rules and regulations.

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How Obamacare Will Affect Your Small Business

As the various insurance implications surrounding Obamacare continue to affect both individuals and small businesses, it is important that you make sure that you are complying with the Affordable Care Act. Depending on the size of your small business and the amount of full-time employees that you have, you may be required to offer them health insurance. As we observe how recent health care reform is affecting our California small businesses, there are some trends that are worthy of acknowledgement:

  • Obamacare has contributed to the growth of consumer-driven health care. As a consumer-driven industry, employees and patients are acting as medical consumers and controlling how their health care allowances are spent. Since the responsibility of controlling health care choices is transferred to the employees, small business employers benefit from consumer-driven health care.
  • As a small business employer, it is important that you educate yourself of the various health insurance options available to you. When it comes to small businesses and health insurance, you have the luxury of offering your employees tax-free money so that they can make their own health insurance purchase.
  • The entire way employee benefits work is altered by recent health care reform. Rather than providing your employees with a group health insurance plan, you now have the luxury of offering your employees a health care allowance instead. If you have experienced the inability to offer your employees group health insurance in the past due to failure to meet minimum requirements, you can now offer employees this commodity, tax-free!

Contact Bernardini & Donovan Insurance Services for all of your California business’ health insurance needs. We understand that the various implications surrounding Covered California may have you confused, and that is why we are available to dispel any myths and reveal only the truth.

How Will Covered California Affect My Health Insurance?

With the introduction of Covered California, better known as Obamacare, many individuals and businesses are left wondering how the implications will affect their lives. Health exchanges have been put in place, providing individuals and businesses with a specific place where they can purchase health insurance through Covered California.

Although these health exchanges have been put in place, many Californians will continue purchasing health insurance from insurance companies, brokers, and private health exchanges. Since the majority of California residents who purchase health insurance will not qualify for government tax subsidies, many individuals would prefer to avoid purchasing health insurance from the state exchange service.

If you choose to purchase health insurance on an off-exchange plan, you will still be receiving top quality care. This is because the off-exchange plans are required to follow the 10 essential health benefits, offering the following 10 necessities:

  • Services during emergencies
  • Outpatient care without hospital admittance
  • Hospitalization
  • Maternity care and newborn care
  • Care for those with mental health and substance abuse problems
  • Prescription medications
  • Rehab and rehabilitative services
  • Laboratory facilities
  • Pediatric care
  • Preventative care

While there are still options for health insurance, it is now required by law that you obtain health insurance. Under the recent health care reform, all individuals must have health insurance. Likewise, there are a variety of legal requirements businesses must abide by now. If you have more than 50 full-time employees, you are now required by law to offer those employees health insurance. The next open enrollment period is fast approaching, so be sure to get informed so that you can make the appropriate health insurance decision based on your unique needs.

We understand that the various implications surrounding the Affordable Care Act may have you confused, and that is why we are available to dispel any myths and reveal only the truth. Contact Bernardini & Donovan Insurance Services for all of your California health insurance needs.

Open Enrollment: The Next Round

The open enrollment period for 2014 is almost over; after March 31st, any new policy (or additions to your present coverage) will have to wait for the next open enrollment period.  But when, precisely, will that be?

For the general public, coverage starting in 2015 can be shopped for on the marketplace starting in late autumn.  Though an exact date has yet to be officially determined, at present the proposed window is November 15th 2014 through January 15th 2015.

There are a few notable exceptions; certain life events (such as a change in your family size, losing your job, moving to a new state, or large changes to your income) can qualify you for a special enrollment period.  Usually this period is within sixty days of your qualifying life event.

Of course, the best way to determine your eligibility (and the best policy for you) is to discuss your situation with an insurance professional.  For more information about the Affordable Care Act or health insurance in California, contact Bernardini & Donovan Insurance

Qualifying Events: How Can I Obtain Health Insurance after March 31st?

While Open Enrollment for 2014 is nearly over, certain qualifying life events will entitle you a Special Enrollment Period in which to adjust your coverage in accordance with this life event.

A few notable instances which will entitle you to this Special Enrollment Period are: changes to your family size (this may be caused by marriage, divorce, birth of a child, death in the family, etc.), a large change in your income, the loss of a job, the loss of alternate health coverage, a move to a new state, change of citizen status, or change of eligibility for subsidy.

Generally, the Special Enrollment Period will open in a sixty-day window after the event that triggered your eligibility.  The best way to determine said eligibility (and the best policy for you) is to discuss your situation with an insurance professional.  For more information about the Affordable Care Act or health insurance in California, contact Bernardini & Donovan Insurance

ACA Extension to Individual Health Insurance “Keep Your Plan” Rules

Responding to intense consumer (and voter) allegations of promises not kept, the Obama administration announced another extension for those wanting to keep current individual and small group health insurance plans. People can keep current, non-compliant coverage plans for the next two years. During Congressional debate about adopting the Affordable Care Act (ACA), the President promised Americans "if you like your current plan, you can keep it."

However, as the implementation date of the ACA approached, the White House changed its position. After many insurance companies issued termination notices, in November 2013, to insured people and groups, the President allowed a one-year extension of non-compliant healthcare plans.

However, consumer and small employer dissatisfaction continued. In March 2014, the White House announced a further extension increase from one to two years. The Department of Health and Human Services, Treasury Department and the IRS have issued "regulatory guidance" to help you understand this latest policy change.

The two-year extension to the Affordable Care Act allows you to keep otherwise non-compliant plans through October 1, 2016. This applies to both individual health insurance and small group health insurance plans already in force.

For more information about changes in the Affordable Care Act, contact Bernardini & Donovan Insurance in the Redlands, California area. Their professionals can explain these confusing changes, in simple English, in small group and individual health insurance plans. Bernardini & Donovan Insurance Services understands these ACA changes and can help you comply with ACA requirements.

Open enrollment deadline approaching for part-time employees and subcontract employees

The Affordable Care Act (ACA) open enrollment deadline for health insurance is rapidly approaching. The last day for part-time and subcontract employees to get health insurance via Covered California, the state healthcare website, is March 31, 2014. Fortunately, if you’re still confused, you can get advice and sign up from a certified agent you trust for the same health insurance as you find online.

Small group employers don’t need to offer healthcare plans to subcontract and part-time employees because the Affordable Care Act specifies required coverage for full-time employees or "full-time equivalents." While independent and subcontract employees are not included in small employer mandatory coverage requirements, these people must qualify as independent contractors.   Subcontractors must meet the Internal Revenue Service (IRS) definition as independent.

Just because an employer calls someone an independent contractor doesn’t mean the IRS will agree. The IRS examines the "substance of the work relationship" to rule on the nature of the employment. If the legal status is that of an independent contractor, the window for open enrollment closes on March 31. The same deadline applies for part-time employees that don’t qualify for small group insurance.

Confused yet? To clear away the "fog," contact Bernardini & Donovan Insurance. Don’t miss the open enrollment deadline because you are confused about your options. You can use Bernardini & Donovan Insurance to get the advice and coverage you need. The firm is a certified agent for healthcare plans listed on the Covered California Marketplace. You’ll get the coverage you want at the same price listed on the Healthcare Marketplace site.

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