Why offer benefits? Your employees don’t even know what they have…

Why offer benefits? Your employees don’t even know what they have…

Ok... Maybe that's a little melodramatic, but consider this: Your company invests considerable money to provide health insurance and other benefits to employees. So far, so good. There’s a problem though. What if the return on investment isn't there? After all, many employees don’t really understand the value of their medical plan, and don't even know how it works. Why? Because the plan information was never presented to them in a way they understand. Now, if employees don’t know how their plan works, or appreciate the value of that plan, ...

Affordable Care Act: The Supreme Court Rules In Favor Of Subsidies

Affordable Care Act: The Supreme Court Rules In Favor Of Subsidies

  On June 25, 2015, the Supreme Court upheld the availability of tax credits (subsidies) in all 50 states under the Affordable Care Act. The court affirmed in a 6 – 3 vote that the language in the Affordable Care Act allows the government to help people buy insurance (through subsidies or tax credits) anywhere in the country and not only in states that have established their own insurance exchanges, or Marketplaces. Chief Justice John Roberts wrote for the majority. Justices Scalia, ...

Covered California: 3 Key Issues to Consider Before Taking the Plunge

Covered California: 3 Key Issues to Consider Before Taking the Plunge

Saving money is a good thing. But... We've all been the victim of a good deal gone wrong haven't we? You know what I’m talking about – You find something for a reduced price, and everything looks pretty good... Slowly but surely, however, you find youself investing more and more time to make it work.... Only to realize this wasn't the best decision after all... Your total investment (money, time, aggrivation...) has exceeded the value of the deal. Whether it's a used car, a cheap electronic gizmo, or even ...

The Federal Poverty Level: Do you qualify for a subsidy?

The Federal Poverty Level: Do you qualify for a subsidy?

As an individual seeking health coverage, you may qualify for subsidy assistance based on your income, relative to the Federal Poverty Level. What is the Federal Poverty Level? Quite simply, it is a range of incomes, compared with the number of people in a given household, which is then compared to the Federal poverty line. Once your income is compared to the "FPL", you can then see if you qualify for subsidy assistance on your coverage, when applied for within Covered California. (or ...

Covered CA:  FAQ’s to keep you sane through open enrollment!

Covered CA: FAQ’s to keep you sane through open enrollment!

It's hard to believe, but the state of California is at the leading edge of our nation's quest to implement the Afordable Care Act. Having said this, things are far from perfect, with many enrollees scratching their heads on a few key issues. Take a look at the following 9 KEY questions that EVERYONE should know before enrolling in coverage through Covered California. Q:  I'm currently covered with Covered CA, and am current on my bill... Do I need to do anything to ...

Is Staying Grandfathered The Way to Go?

Is Staying Grandfathered The Way to Go?

It's never been more difficult to manage one's health insurance than it is right now... Regardless of carrier, the Affordable Care Act has many individual policy holders scrambling to keep up. Constantly changing laws and ever shrinking networks have many people wondering when stability will be restored in the marketplace. All except grandfathered policy holders, that is. You see, as a grandfathered policy holder, many individuals have managed to stay "safe" from almost all of the recent turmoil in the marketplace. The reason? Grandfathered plans have not been ...

More Issues With Covered California

More Issues With Covered California

Over the past year, consumers and agents alike have experienced many frustrating issues with Covered California (http://www.coveredca.com/). Consumer notification issues abounded, and enrollees continue to experience difficulty in navigating customer portals. Last, and certainly not least, errors with the site make accessing one’s information impossible as Covered California admins rush to solve problems with the sites infrastructure. I work at a health insurance brokerage called SCI & Associates, in Stevenson Ranch, CA. While our primary focus is benefits, HR, and compliance for ...