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 Affordability Is Determined Under ACA

Understanding What Qualifies Coverage As Affordable

The Affordable Care Act (ACA) has changed the face of healthcare in the United States in an effort to make securing health insurance affordable for every American. What, exactly, qualifies as affordable coverage? It cannot just be a vague idea, as the government now requires all businesses that employ a certain number of people to offer affordable coverage to their employees. So how, then, is affordability defined?

According to ACA standards, a plan is considered affordable if it costs 9.5 percent or less of the individual it covers income. As an employer, how can you know if your plan will be affordable for your employees? There are a few safe harbors you can use to avoid being hit with penalty fees.

First, you can reference Box 1 on your employee’s W-2, where he or she will have to report his or her taxable income. Secondly, you can base affordability off your employee’s rate of pay on the first day of coverage under that plan. And finally, you can rest easy knowing your plan is affordable if your employee’s paid share is not more than 9.56 of the federal poverty level for a single individual. These safe harbors enable you to protect your employees by ensuring they are able to afford the protection they need, and protect your business from penalty fees.

Do not be left wondering if the plans you offer as a business or the plan you secure as an individual will be complaint with ACA regulations, only to be hit with tax penalties in April. To have a certified agent come alongside you to help you navigate the changing face of health care, contact Bernardini & Donovan Insurance Services today. Located in Redlands, we are here to help you secure the best protection for you and your family. To get the health insurance you deserve this year, call us today!

ACA Penalty Fees

Your Guide To The Tax Penalties Of The Affordable Care Act

If you have not yet secured health insurance for 2015, do not wait. The open enrollment period (the time during which you can secure an individual health insurance plan) ends on February 15th, and if you do not have the coverage required by the Affordable Care Act (ACA) by that time you may be subject to tax penalties.

What kind of coverage should you have to avoid those fees? You need a major medical health insurance plan. According to the ACA, these plans include coverage for emergency services, pediatric services, laboratory services, rehabilitative services and devices, mental health/substance abuse services, preventative/wellness services, hospitalization, maternity and newborn care, ambulatory patient services, and prescription drugs.

If you do not have major medical health insurance for three continuous months, you will be hit with penalties when you file your taxes. These penalties will be 2 percent of your taxable income or $325 per adult ($162.50 per child), whichever is greater.

Are you concerned you will not be able to afford the insurance you need to avoid these fees? Do not worry- the ACA also outlines subsidies to help lower income individuals and families get coverage. If your household income is 400 percent or less of the federal poverty level, you can qualify for tax credits to help pay for your health insurance.

Do not let yourself be subject to these fees. Get the health insurance the ACA requires, and that you deserve. To have a certified agent help you determine the right coverage and secure it at the right price, contact Bernardini & Donovan Insurance Services today. Located in Redlands, we are here to help you secure the best protection for you and your family. To get the health insurance you deserve this year, call us 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!

California Ranked 17th Healthiest State in the U.S.

How The Health Of California Has Changed In The Last Year

The American Public Health Association and the Partnership for Prevention released their annual report on the health rankings of America on December 10th. The report listed a ranking of all fifty states from healthiest to least healthy as well as information on cancer, preventable diseases, and chronic conditions in the United States.

To calculate their rankings, the organizations considered twenty-seven health metrics, including obesity, immunization rates, infectious diseases, and cancer-related deaths. After compiling the numbers, they released the full ranking with Hawaii emerging as the most healthy state and Mississippi at the bottom of the list.

The report showed that nationally, there has been a 7 percent increase in obesity in the last year and a 3 percent increase in sedentary lifestyles. Fortunately, there was also good news. 3 percent fewer adults are smoking and 4 percent fewer cases of infant mortality were reported, while 5 percent more adolescent American have received the immunizations they need.

California came in 17th overall, with nearly a 1 percent drop in obesity, from 25 in 2013 to 24.1 this year. The number of smokers also decreased slightly, from 12.6 to 12.5 percent. Unfortunately, the number of California residents with diabetes has increased by 15 percent in the last two years.

The report showed that the biggest health challenges Californians face are significant amounts of air pollution, a great inequality in the health status of high school graduates vs. those without high school diplomas, and a moderate rate of violent crime.

Fortunately for Californians who care about their health, a certified Covered California agent like the ones at Bernardini & Donovan Insurance Services can help you get the health insurance you need to care for your body in every season of life. With open enrollment going on right now, do not hesitate to contact Bernardini & Donovan Insurance Services, located in Redlands, California, to secure the best Covered California-compliant protection for you and your family today.

The Latest On Covered California

Your Update On Covered California’s Progress In The First Month Of Open Enrollment

The first open enrollment period in 2013-2014 ended up securing 1.2 million enrollees during its six-month period. With this year’s three month period, Covered California aims to keep the 1.2 million enrolled and add another half million of new enrollees. That means they are shooting to have 1.7 million Californians enrolled by open enrollment’s end date of February 15th, 2015.

It looks like they may get close to their goal, as between November 15th (the day this second, current period of open enrollment began) and December 11th 91,600 people who had previously not been enrolled signed up. This is a significant number considering that between November 15th and December 3rd the number of new enrollees was at just 48,950 and during the first month of open enrollment last year a mere 31,000 signed up.

If you are a current Covered California enrollee, you had until December 21st (extended from the original deadline of December 15th) to make changes to your plan, otherwise you will be automatically enrolled in another year of your current plan. If you are now eligible for Medicare, make sure you connect with an enrollment counselor or a certified Covered California agent to get un-enrolled from your current Covered California plan.

Whether you have a current Covered California health insurance plan or are planning to enroll for the first time, these next two months before open enrollment ends will be a critical time to secure the right coverage for you. After February 15th, if you are not properly covered under the new guidelines set forth by the Affordable Care Act, you become eligible for tax penalties.

Bernardini & Donovan Insurance Services, located in Redlands, California, offers expert services and superior care to make sure you are meeting the Affordable Care Act’s requirement and getting the best coverage for you and your family at the best prices. For all of your health insurance needs, contact us today!

Your Guide To Open Enrollment

What You Need To Know About The Current Open Enrollment Period

As the face of healthcare changes with the Affordable Care Act and Covered California, understanding how those changes affect you can feel overwhelming. You know that there are scary words like deadlines and penalty fees being thrown about, but do you know how to avoid them? That’s what we are here for! The experts at Bernardini & Donovan Insurance Services would like to offer you the following guide to the basics of the current open enrollment period.

When Is It?

The second (and current) open enrollment period for family and individual insurance plans began on November 15th, 2014 and ends February 15th, 2015.

What Is It?

Open enrollment is the period during which individuals, families, and small business can secure health insurance that will meet the new requirements implemented by the Affordable Care Act.

Do I Need To Sign Up?

Unless you have an exemption or are being provided with coverage by your place of employ- yes. Some “qualifying events” (e.g. moving to a new state, marrying, divorcing, having a baby) may allow you to push your deadline back, but to avoid extra hassle it is in your best interest to secure coverage during this period. If you do not, you can be eligible for a penalty fee.

Where Should I Go To Get Covered?

To be sure the policy you secure meets the Affordable Care Act’s guidelines, you should contact a certified Covered California agent. Bernardini & Donovan Insurance Services in Redlands, California can be your guide to the changing healthcare industry. Our team of experienced agents understands the new requirements and can help you make sure you meet them so you can avoid penalty fees. Contact us today to get great healthcare coverage at the right price!

Deadline Extensions With Covered California

Get The Coverage You Need By December 21st

If the hectic holiday season has made it difficult for you to secure the coverage you need this month, Covered California has a gift for you. Were you hoping to lock down coverage that will begin at the first of the year? If you have begun the application process, you will have until December 21st (rather than the original deadline of December 15th) to finish the application process.

Why the change? The executive director of Covered California, Peter Lee, says that a later date allows people some grace time for completing what he understands can be a complicated process for first-time users. Covered California knows that if you have never secured insurance before, you will want to sit down with a professional to help you understand the kind of coverage you need.

Meeting with a pro has been difficult for some people, and many enrollment counselors and insurance agents have been booked solid for the last couple of weeks. With hold times of nearly twenty minutes when calling a Covered California service center, the extra days until the deadline will make the sometimes time-consuming process of securing coverage less of a burden.

Whether you are one of the thousands of new enrollees (91,600 signed up between November 15th and December 11th) or are just looking to renew your existing policy, take advantage of these extra days to make sure you are getting comprehensive coverage for the lowest premiums.

To speak with a certified Covered California agent, contact Bernardini & Donovan Insurance Services, located in Redlands, today. Our team is committed to securing the best health insurance coverage for you at the most competitive rates in the industry. For all of your Southern California health insurance needs, connect with our team during this open enrollment period to get the peace of mind that comes with great coverage and avoiding Obamacare penalty fees.

You Have Enrolled In A Plan, But Want To Switch…What Now?

Being a first-time health care policy owner can be stressful, and confusing! What happens if you select a health plan, and then decide that you wish to change it? Are you out of luck, or is there something you can do? We are here to help answer your questions like these! Here are a few pieces of enlightening health care information:

  • You are allowed to change your plan, as long as it falls within the open enrollment window, which spans from November 15th, 2014 to February 15th, 2015.
  • There may be an overlap period where you will live with your previously selected health care plan before your second choice plan kicks in. It is smart to discuss this time period with an insurance agent who specializes in health care.
  • To change your health plan during the open enrollment period, your first step should be to log into your online marketplace account.
  • Next, you should navigate through the “My Plans and Programs” section, to the “End/Terminate All Coverage” tab. Click “Eligibility & Appeals”, then “Continue to Enrollment” where you are welcome to compare and contrast different health plans that you are eligible for.
  • Pay attention to the start date of your policy once you reach a decision.
  • If you have troubles with the process, you should get in contact with one of our certified Covered California agents here at Bernardini & Donovan’s Insurance Services to help you find the right plan for you!

We hope this information has eased your mind if you think you may want to change your plan before the enrollment period is over. If you have health care questions that need answers, please get in touch with the skilled insurance agents at Bernadini & Donovan Insurance, located in Redlands! We are an experienced insurance agency who cannot wait to fulfill all of your healthcare needs!

3 Advantages Of Teaming Up With A Health Insurance Agent!

With November on our tails, we will soon be consumed with thoughts of health coverage. The time has come to sit down, and critically evaluate our current and future health care needs. Finding the right coverage is an art of sorts. You want to make sure you can afford the plan, but that the plan will do its job in keeping you adequately covered. In order to master this art, you will need to team up with a health insurance agent. Here are just a few of the many reasons why this is a good idea:

  • The open enrollment process is only a couple of years old. While many adjustments have been made to make online enrollment less challenging, it is not a guarantee that all individuals will not run into technical difficulties. A certified Covered California agent here at Bernardini & Donovan Insurance Services is well versed in the process, and can help you overcome any speed bumps you may encounter.
  • Many individuals take less than 15 minutes to evaluate their options for a plan, and settle before thoroughly understanding how their decision could affect their life. An agent will not let you make this hasty, and unwise decision.
  • Health insurance agents have years of experience with health care, and are familiar with scenarios where an individual’s coverage was not enough. They can use this expertise to guide you in the right direction, and ensure you are not taking any risks.

You need a certified and experienced insurance agent to guide you through the process. Their assistance can help you to avoid overpaying for your plan, or having to settle for less coverage than you need. Never sacrifice coverage for price when collaborating with an agent! Please reach out to the experienced insurance professionals at Bernadini & Donovan Insurance for any assistance you may need.

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