CA Small Group Carrier Participation & Specials

  Carrier Participation (Sole carrier) United Healthcare 1-100 Eligible: 60% participation Oscar Health Plans 1-100 Eligible: 70% of eligible W-2 employees are covered by a group health plan. Owners/officers are only counted towards participation if they are enrolling. Health Net 1-5 Eligible: 66% participation 6+ Eligible: 50% participation   EnahancedCare PPO Choice Package (available through 12/15/2018): 1-5 Eligible: 66% participation … Read More

2018 Individual & Family Open Enrollment Gotcha’s!

We would like to point out a few helpful pieces of information for this year’s Individual & Families Open Enrollment to help make sure that you get the plan you’re expecting with the benefits you’re expecting.   First off, and this is a biggie … the two main carriers for PPO plans in the Individual & Families market of Southern … Read More

Medicare open enrollment has begun: What you need to know

Medicare open enrollment has begun: What you need to know Most beneficiaries have from Oct. 15 to Dec. 7 to decide on drug coverage and whether to switch from traditional Medicare to Medicare Advantage plan. Source:

Trump ACA Executive Order Signed

from benefitsPRO The leaked executive order started making the rounds on Twitter on Thursday. (Photo: Twitter) In issuing an executive order on the Affordable Care Act, Trump has done something he’s frequently talked about: using association health plans to establish a new class of lightly regulated insurance. The leaked EO reveals, according to Andy Slavitt—who, according to his Twitter page, … Read More

Covered California Keeps Premiums Stable by Adding Cost-Sharing Reduction Surcharge Only to Silver Plans to Limit Consumer Impact

from Covered California press release In the absence of a federal commitment to continue funding cost-sharing reduction (CSR) reimbursements through the upcoming year, Covered California health insurance companies will add a surcharge to Silver-tier products in 2018. However, because the surcharge will only be applied to Silver-tier plans, nearly four out of five consumers will see their premiums stay the … Read More

Navigating 101(j) – An Ounce Of Prevention Can Avoid A Ton Of Liability

via: -by Ron Bielefelt I was very annoyed.  It was the first application that I took for a key-person life insurance policy after August 18, 2006.  The underwriter kicked the application back because the insured-employee did not sign the “Notice and Consent” form, acknowledging that the employer was both the owner and beneficiary of the policy. When I suggested to the underwriter … Read More

State-by-State Estimates of Changes in Federal Spending on Health Care Under the Graham-Cassidy Bill

A new health care bill recently introduced by a number of senators led by Senators Lindsey Graham and Bill Cassidy would repeal major elements of the Affordable Care Act (ACA), make changes to other ACA provisions, fundamentally alter federal Medicaid financing, and reduce federal spending for health coverage. Key provisions of the Graham-Cassidy proposal would: Repeal the ACA Medicaid expansion and individual … Read More

Group Health Plans On The Table As Congress Undertakes Tax Reform

~ from ( Will the tax exclusions on employer-provided health insurance be used to pay for tax cuts? Next week, the White House is expected to release the first details on what tax reform will look like and how it will be paid for. Lawmakers are reportedly targeting several exemptions in the existing tax code to offset lower individual and corporate tax rates. … Read More

Doctors Warm To Single-Payer Health Care

via CaliforniaHealthLine ( ) Single-payer health care is still a controversial idea in the U.S., but a majority of physicians are moving to support it, a new survey finds. Fifty-six percent of doctors registered either strong support or were somewhat supportive of a single-payer health system, according to the survey by Merritt Hawkins, a physician recruitment firm. In its 2008 survey, opinions ran … Read More

End-Of-Life Advice: More Than 500,000 Chat On Medicare’s Dime

from: ( ) The 90-year-old woman in the San Diego-area nursing home was quite clear, said Dr. Karl Steinberg. She didn’t want aggressive measures to prolong her life. If her heart stopped, she didn’t want CPR. But when Steinberg, a palliative care physician, relayed those wishes to the woman’s daughter, the younger woman would have none of it. “She … Read More