With all of the debate and squabbling about health care costs, there has been a general recognition that individuals who don’t qualify for a subsidy under the ACA have been hard hit by premium increases over the past years. In fact, CMS data released earlier this year indicated that non-subsidized enrollees saw a 20 percentContinue reading “Open Enrollment – Will States See the Silver Lining?”
Category Archives: Market Stabilization
“Grandmother” Rallies – Transition Relief Extended
As Mark Twain once wrote in a cable to a New York newspaper, “The report of my death was an exaggeration.” So, it is with “grandmothered” plans! CMS gave “grandmother” new life in an announcement on April 9, 2018 extending the transition relief known as “grandmothered” plans. Rather than terminating “grandmothered” policies at the endContinue reading ““Grandmother” Rallies – Transition Relief Extended”
Grandmothered Plans — On Life Support?
Plans that are not fully in compliance with the Affordable Care Act (ACA) but are not “grandfathered” are referred to as “grandmothered” plans. “Grandfathered” plans had to be in effect prior to enactment of the ACA on March 23, 2010. “Grandmothered” plans could have been purchased subsequent to March 23, 2010 but before December 31,Continue reading “Grandmothered Plans — On Life Support?”
Rule on Market Stabilization Finalizes Special Enrollment Documentation
Starting in June 2017, new consumers in all states served by the HealthCare.gov platform attempting to enroll through applicable special enrollment periods (SEPs) will have to undergo pre-enrollment verification of eligibility. Enrollees would have their enrollment delayed or “pended” until verification of eligibility is completed by the Exchange. The goal of SEP documentation is toContinue reading “Rule on Market Stabilization Finalizes Special Enrollment Documentation”
New Rule Aimed at Market Stabilization
The Trump administration has published a new proposed rule aimed at stabilizing the individual insurance market. This coincides with NAHU’s emphasis on the critical need to stabilize the individual insurance market. Critics will say that the rule doesn’t do enough. However, the rule advises that this first step is one of several that will beContinue reading “New Rule Aimed at Market Stabilization”
Compliance NOW! 