“As open enrollment for health insurance begins Wednesday, Nov. 1, and several changes have occurred or been proposed, I decided to check in with two industry experts for their advice on what you need to know.
Posts Tagged ‘individual insurance’
Health insurance and open enrollment – what you need to know
Monday, October 30th, 2017Tags: Chicago, Chicagoland, Cicero, Cigna, Clinton, enrollment, health plan, healthcare.gov, individual insurance, insurance broker
Posted in Insurance Reform | Comments Off on Health insurance and open enrollment – what you need to know
Blue Cross Blue Shield Confirms Obamacare Death Spiral
Thursday, April 28th, 2016According to The Beacon:
” The Blue Cross and Blue Shield Association, which represents 36 Blue Cross and Blue Shield plans covering 105 million Americans, has just released a study of its members’ claims data in Obamacare exchanges 2014 and 2015. It confirms that Obamacare exchange enrollees are sicker and more expensive than enrollees in pre-Obamacare individual plans or employer-based plans.
Here I quote four of the study’s findings:
- Members who newly enrolled in BCBS individual health plans in 2014 and 2015 have higher rates of certain diseases such as hypertension, diabetes, depression, coronary artery disease, human immunodeficiency virus (HIV) and Hepatitis C than individuals who had BCBS individual coverage prior to health-care reform.
- Consumers who newly enrolled in BCBS individual health plans in 2014 and 2015 received significantly more medical care, on average, than those with BCBS individual plans prior to 2014 who maintained BCBS individual health coverage into 2015, as well as those with BCBS employer-based group health insurance.
Tags: 60006, 60018, 60024, 60039, 60067, 60072, 60116, 60131, 60134, 60162, 60165, 60183, 60204, 60304, 60522, 60599, ACA, ACA requirements, Advocate Heath Care, affordable care, Affordable Care Act, affordable health insurance, Andersonville, Barrington Hills, BCBS, BCBSIL, Blue Cross, Blue Cross and Blue Shield, Blue Cross and Blue Shield of Illinois, Bucktown, buy health insurance, buying insurance, Campton Hills, Changeing Health Care, Cicero, Cook, Cook County, Costs, Crystal Lake, DeKalb, DeKalb County, Downers Grove, DuPage, DuPage County, Elgin, Evanston, Fox River Grove, Glenview, government regulations, Harvard, health care costs, health care law, health care reform, health care system, health insurance costs, health insurance coverage, Health insurance exchange, health insurance marketplace, health insurance reform, healthcare reform, Huntley, individual health insurance, individual insurance, insurance industry, insurance news, Insurance Reform, Kane, Kane County, Kendall, Kendall County, Key Findings ACA, Lake County, McHenery, McHenry, McHenry County, Mr. Obama, new health care, New health insurance law ACA, North West Suburbs, Northern Illinois, Northwest Suburbs, Obama care, ObamaCare, Obamacare regulation, pre existing conditions, Rolling Meadows, Sleepy Hollow, South Elgin, Sugar Grove, the affordable care act, West Chicago, Will, Will County, Woodstock
Posted in Affordable Care Act, Blue Cross and Blue Shield | Comments Off on Blue Cross Blue Shield Confirms Obamacare Death Spiral
IRS Grants Extension for 6055 and 6056 Reporting
Tuesday, January 26th, 2016According to United Healthcare, Broker Connection Special Edition:
“On Dec. 28, 2015, the IRS announced that it is granting an automatic extension for the 2015 information returns required of insurers, employers and certain other providers of Minimum Essential Coverage (MEC) under Section 6055 and 6056 of the Internal Revenue Code (IRC).
Coverage providers that need more time now have until March 31 to get Form 1095 to individuals and until June 30 to electronically file with the IRS. For providers not filing electronically, the deadline is May 31, 2016. (more…)
Tags: 2015, 2016, ACA, ACA requirements, affordable care, Affordable Care Act, affordable health insurance, Albany Park, Andersonville, barack obama, Barrington, Bartlett, Broker, Bucktown, buffalo grove, buy health insurance, buying insurance, care reform legislation, Carol Stream, Carpentersville, Cary, Changeing Health Care, Chicago, Chicagoland, Contact Us, Cook, Cook County, Costs, Deerfield, DeKalb, DeKalb County, Dundee, DuPage, DuPage County, East Dundee, Elgin, Employers, enroll, enrollment, Fox Valley, Geneva, Glendale Heights, Government, government regulations, health, health care benefits, health care costs, health care law, health care reform, health care system, health exemption, health insurance costs, health insurance coverage, Health insurance exchange, health insurance marketplace, health insurance premiums, health insurance reform, Health Marketplace, health plan, health programs, health reform, healthcare reform, healthcare.gov, Hinsdale, Huntley, IL, Illinois, Illinois Department of Insurance, Illinois health insurance exchange, individual, individual health insurance, individual insurance, Individual Mandate, Individual Shared Responsibility, Individuals, insurance, Insurance benefit consultant, insurance broker, insurance industry, insurance news, insurance plan, Insurance Reform, IRS, Johnsburg, Kane, Kane County, Kendall, Kendall County, Key Findings ACA, Lake, Lake County, Lake in the Hills, Lakewood, Logan Square, Long Grove, McHenery, McHenry, McHenry County, Minimum Essential Coverage, Mount Prospect, Naperville, Navigator, new health care, New health insurance law ACA, North Aurora, North West Suburbs, Northern Illinois, Northwest Suburbs, Obama care, ObamaCare, Obamacare regulation, open enrollment, Palatine, Penalty, PPO, pre existing conditions, Richmond, Riverwoods, Rolling Meadows, Saint Charles, Schaumburg, self-insurance, single payer health care system, South Barrington, special enrollment, Streamwood, Sugar Grove, Tax, taxpayer dollars, the affordable care act, timeline, UHC, United Health Care, United Healthcare, UnitedHealthcare, Villa Park, Warrenville, Wasco, Wayne, West Chicago, Wheaton, Wicker Park, Will, Will County, Wood Dale, Woodstock
Posted in Individual Health Insurance, Open Enrollment | Comments Off on IRS Grants Extension for 6055 and 6056 Reporting
Coming soon to your mailbox: An Obamacare tax form
Tuesday, January 26th, 2016According to The CT Mirror:
“Even if you don’t get your health insurance through Obamacare, you’re likely to get something related to the health law in the mail in the coming weeks: A new tax form.

The 1095-A form exchange customers will receive. Others will get different versions, depending on the source of their health care coverage.
Known as Form 1095, it’s part of the way the federal government verifies whether people are complying with the mandate that requires nearly all U.S. residents to have health care coverage. This year is the first time most people will be getting those forms, and officials are anticipating a fair amount of confusion. In part, that’s because what you need to do with that form depends on the type of coverage you had.
Here’s what you need to know. (more…)
Tags: 2015, 2016, ACA, ACA requirements, advice, affordable care, Affordable Care Act, affordable health insurance, Albany Park, Alden, Algonquin, Andersonville, Bannockburn, barack obama, Barrington, Barrington Hills, Bartlett, Boulder Hill, Bucktown, budget cuts, buffalo grove, Bull Valley, buy health insurance, buying insurance, care reform legislation, Carpentersville, Cary, Changeing Health Care, Chicago, Chicagoland, Cook, Cook County, Costs, coverage plan, Crystal Lake, Darien, Deer Park, Deerfield, DeKalb, DeKalb County, Des Plaines, Downers Grove, DuPage, DuPage County, East Dundee, Elburn, Elmhurst, employer health insurance, enroll, enrollment, exchange, federal medicaid, Fox River Grove, Fox Valley, Geneva, Glen Ellyn, Government, government regulations, Hampshire, Harvard, health, health care benefits, health care costs, health care law, health care reform, health care system, health exemption, health insurance, health insurance costs, health insurance coverage, Health insurance exchange, health insurance marketplace, health insurance premiums, health insurance reform, Health Marketplace, health plan, health programs, health reform, health savings account, healthcare reform, healthcare.gov, Highland Park, Huntley, IL, Illinois, Illinois health insurance exchange, individual, individual health insurance, individual insurance, Individual Mandate, insurance, Insurance benefit consultant, insurance industry, insurance news, insurance plan, Insurance Reform, IRS, Kane, Kane County, Kendall, Kendall County, Lake County, Lakewood, Lincolnwood, Lombard, Maywood, McCullen Lake, McHenery, McHenry, McHenry County, Medicaid, Medicare, Montgomery, Naperville, new health care, New health insurance law ACA, North Aurora, North West Suburbs, Northern Illinois, Northlake, Northwest Suburbs, Oak Park, Obama care, ObamaCare, Obamacare regulation, open enrollment, Palatine, Park Ridge, Penalty, Pingree Grove, Prairie Grove, premiums, public exchange, Ringwood, Rolling Meadows, Roselle, Saint Charles, Schaumburg, sign up, Skokie, South Barrington, special enrollment, St. Charles, state health insurance, state legislatures, Stone Park, Supreme Court, supreme court decisions, Tax, taxpayer dollars, Tower Lakes, Villa Park, Wasco, West Chicago, West Dundee, Westchester, Wheaton, Wicker Park, Will, Will County, Wood Dale, Woodstock
Posted in Affordable Care Act, Health Insurance News, Heath Care Costs | Comments Off on Coming soon to your mailbox: An Obamacare tax form
Humana to Record 2016 Obamacare Shortfall, Membership Drops
Tuesday, January 26th, 2016According to Bloomberg Business:
“Humana Inc. is the latest insurer to run into trouble in Obamacare’s individual health-insurance markets.
The health insurer said that it probably won’t collect enough money to cover costs for some customers who bought individual plans, and will set aside what’s known as a premium deficiency reserve. The shortfall is for 2016 plans that comply with new rules under the Affordable Care Act, Louisville, Kentucky-based Humana said Friday.
UnitedHealth Group Inc., the biggest U.S. health insurer, said in November that it might stop participating in the Obamacare next year after taking losses. One analyst predicted that Humana would follow suit.
(more…)
Tags: 2015, 2016, ACA, ACA requirements, Advocate Heath Care, affordable care, Affordable Care Act, affordable health insurance, Albany Park, Algonquin, Andersonville, Arlington Heights, Atena, aurora, barack obama, Barrington Hills, Bartlett, Batavia, BCBS, BCBSIL, Bucktown, budget cuts, buffalo grove, Bull Valley, buy health insurance, buying insurance, California healthline, cancer coverage, care reform legislation, Carol Stream, Carpentersville, Changeing Health Care, Chicago, Chicagoland, Cicero, College Grads, commerce clause of the constitution, Commonwealth Care Health Insurance, Cook, Cook County, Costs, coverage plan, Crystal Lake, Deerfield, DeKalb, DeKalb County, Des Plaines, Downers Grove, Dundee, DuPage, DuPage County, Elburn, enroll, enrollment, Fox River Grove, Fox Valley, Geneva, Gilberts, Glen Ellyn, government regulations, Hampshire, Harwood Heights, health, health care benefits, health care costs, health care law, health care reform, health care system, health exemption, health insurance, health insurance costs, health insurance coverage, Health insurance exchange, health insurance marketplace, health insurance premiums, health insurance reform, Health Marketplace, health plan, health programs, health reform, health savings account, healthcare reform, healthcare.gov, Herbron, Highland Park, Humana, Huntley, IL, Illinois, Illinois health insurance exchange, individual, individual health insurance, individual insurance, Individual Mandate, Individual Shared Responsibility, Individuals, Insurance benefit consultant, insurance broker, insurance industry, insurance news, insurance plan, Insurance Reform, Itasca, Kane, Kane County, Kendall, Kendall County, Lake County, Lake in the Hills, Lake View, Lakewood, Lincoln Park, Maple Park, Marengo, Marketplace, McCullen Lake, McHenery, McHenry, McHenry County, Naperville, new health care, New health insurance law ACA, Niles, North Aurora, North Barrington, North West Suburbs, Northwest Suburbs, Obama care, ObamaCare, Obamacare regulation, open enrollment, Palatine, Park Ridge, Producer, Riverwoods, Rolling Meadows, Schaumburg, self-insurance, single payer health care system, South Barrington, special enrollment, state health insurance, Streamwood, Sugar Grove, the affordable care act, Tower Lakes, Village of Lakewood, Warrenville, Wasco, West Chicago, Wicker Park, Wood Dale, young adults
Posted in Affordable Care Act, Health Insurance News, Individual Health Insurance | Comments Off on Humana to Record 2016 Obamacare Shortfall, Membership Drops
Feds tighten when people can enroll in Obamacare plans
Tuesday, January 26th, 2016According to USA Today:
“Bowing to pressure from insurers, federal officials on Tuesday tightened the conditions under which people can sign up for plans on the HealthCare.govexchange outside open enrollment.
The move by the Centers for Medicare and Medicaid Services comes after complaints by health insurers that it was too easy for people to wait until they were sick to sign up and to drop coverage after they got treatment. Earlier Tuesday, UnitedHealth announced a 19% drop in profit and downgraded its earnings forecast citing concerns about its Obamacare enrollment and the flexibility people had to change insurance plans. (more…)
Tags: 2016, ACA, ACA requirements, affordable care, Affordable Care Act, affordable health insurance, Albany Park, Andersonville, Arlington Heights, Barrington, Bartlett, BCBS, Berwyn, Blue Cross, Bucktown, budget cuts, buy health insurance, buying insurance, care reform legislation, Carpentersville, Changeing Health Care, Chicago, Chicagoland, Cicero, Cook, Cook County, Costs, coverage plan, Crystal Lake, Deer Park, Deerfield, DeKalb, DeKalb County, Desplaines, Dundee, DuPage, DuPage County, ebola, Elgin, Elmwood Park, enroll, enrollment, exchange, Forest Park, Fox River Grove, Fox Valley, Franklin Park, Geneva, Gilberts, Glen Ellyn, Glencoe, Glendale Heights, Government, government regulations, group rates, health, health care benefits, health care costs, health care law, health care reform, health care system, health insurance costs, health insurance coverage, Health insurance exchange, health insurance marketplace, health insurance premiums, health insurance reform, Health Marketplace, health plan, health programs, health reform, health savings account, healthcare reform, healthcare.gov, High deductible health plan, Hinsdale, Holiday Hills, Huntley, IL, Illinois, Illinois Department of Insurance, Illinois health insurance exchange, individual health insurance, individual insurance, insurance, Insurance benefit consultant, insurance industry, insurance news, insurance plan, Insurance Reform, Kane, Kane County, Kendall, Kendall County, Lake County, Lake in the Hills, Lake View, Lakewood, Lincolnwood, Logan Square, Maple Park, Marengo, Massachusetts, McCullom Lake, McHenery, McHenry, McHenry County, Medicaid, medical expenses, Medicare, new health care, New health insurance law ACA, North Aurora, North Barrington, North West Suburbs, Northern Illinois, Northlake, Northwest Suburbs, Oak Park, Oakbrook Terrace, Obama care, ObamaCare, Obamacare regulation, open enrollment, Palatine, Park Ridge, Penalty, Prairie Grove, Ringwood, Riverwoods, Roselle, Saint Charles, Schaumburg, sign up, Skokie, Sleepy Hollow, South Barrington, South Elgin, special enrollment, St. Charles, state health insurance, Streamwood, Sugar Grove, Tax, the affordable care act, timeline, Trout Valley, Villa Park, Village of Lakewood, Warrenville, Wasco, West Chicago, West Dundee, Wheaton, Will, Winfield, Wood Dale, Woodridge, Woodstock, young adults, young people
Posted in Affordable Care Act, Health Insurance News, Open Enrollment | Comments Off on Feds tighten when people can enroll in Obamacare plans
Canadian Health Care: Patients Waiting Longer Than Ever For Treatment
Monday, January 11th, 2016Investors Business Daily Reports:
“Socialist Medicine: Canadians love their hockey and have historically been happy with their government-run health care system. Hockey is thriving. The country’s health care system, though, is a wreck and getting worse.
It could be said the words “Canada” and “health care” really don’t go together because some Canadians never make it to the doctor.
Too many die untreated due to extended wait times to see a doctor, and those wait times have increased again this year. They are now almost twice as long as they were in 1993, the year Hillary Clinton tried to force government health care on Americans. (more…)
Tags: 2015, ACA, affordable care, Affordable Care Act, affordable health insurance, Algonquin, Arlington Heights, aurora, Barrington, Bartlett, Bucktown, buy health insurance, buying insurance, Changeing Health Care, Chicago, Chicagoland, Cicero, Cook, Cook County, Crystal Lake, Deer Park, DeKalb, DeKalb County, departments of health and human services, doctors, Downers Grove, Dundee, East Dundee, Elgin, employer health insurance, enrollment, Fox Valley, Franklin Park, Government, government regulations, group health plans, health care benefits, health care costs, health care law, health care reform, health care system, health insurance costs, health insurance coverage, Health insurance exchange, health insurance marketplace, health insurance reform, healthcare reform, healthcare.gov, Hoffman Estates, Hospital, Huntley, Illinois, Illinois Department of Insurance, Illinois health insurance exchange, individual health insurance, individual insurance, Kane, Kane County, Kendall County, Lake County, Lake in the Hills, Lake View, Lincoln Park, Long Grove, McHenry, McHenry County, medicaid programs, Morton Grove, new health care, New health insurance law ACA, Obama care, ObamaCare, Obamacare regulation, open enrollment, Palatine, Park Ridge, pre existing conditions, premiums, Prospect Heights, River Grove, Riverwoods, Rolling Meadows, Saint Charles, Schaumburg, Sleepy Hollow, social security and medicare, South Barrington, special enrollment, Streamwood, taxpayer dollars, the affordable care act, United Healthcare, Village of Lakewood, West Chicago, West Dundee, Will County, Woodridge, Woodstock
Posted in Affordable Care Act, Family Health Insurance, Health Insurance News, Heath Care Costs | Comments Off on Canadian Health Care: Patients Waiting Longer Than Ever For Treatment
More than 100,000 in SC could lose health insurance if Supreme Court rules against subsidies
Wednesday, April 22nd, 2015“Tim Liszewski didn’t have health insurance for a decade before signing up for a subsidized policy through the Affordable Care Act’s federal marketplace last year.
He likely will be uninsured again if the U.S. Supreme Court rules federal subsidies are illegal in states such as South Carolina that didn’t create their own insurance exchanges. The court hears arguments about that issue in the King v. Burwell case on Wednesday, with a decision likely coming in June.
Tags: ACA, Affordable Care Act, Alden, Algonquin, Arlington Heights, Barrington Hills, Bartlett, Batavia, Bensenville, Berwyn, Big Rock, health care law, individual insurance, Lake, medical expenses, Medicare, Supreme Court, the affordable care act
Posted in Health Care .gov, Insurance Reform, Political | Comments Off on More than 100,000 in SC could lose health insurance if Supreme Court rules against subsidies
Employer-paid Individual Health Plans
Wednesday, September 3rd, 2014“The IRS and other agencies have issued three different sets of guidance making it clear that employers cannot give actively employed workers pre-tax dollars through a Health Reimbursement Arrangement (HRA) ,or any other type of arrangement, to purchase individual coverage on their own. Employers using this model will be subject to fines of up to $100 per employee per day.
Tags: East Dundee, Elburn, Elgin, Elmhurst, Elmwood Park, enrollment, Evanston, group health plan, group health plans, individual, individual insurance
Posted in Group Health Insurance, Insurance Reform | Comments Off on Employer-paid Individual Health Plans
Small Firms Hit by Big Changes in Health Coverage
Wednesday, September 3rd, 2014The Wall Street Journal reports:
“Businesses with fewer than 50 workers are exempt from the most stringent requirements for larger employers under the federal health-care law. But that doesn’t mean they’re off the hook entirely.
Smaller employers aren’t required under the Affordable Care Act to offer coverage for their full-time workers—as larger firms must by 2016 or face penalties, for instance. But many owners of small ventures and startup entrepreneurs are nonetheless facing big changes to how they obtain their own health coverage, as well as to the benefits they’re able to offer employees.
“It’s a myth that smaller firms aren’t being hit” by the health law, albeit in less obvious ways, says James Schutzer, president of the New York State Association of Health Underwriters, referring to employers with fewer than 50 workers.
Tags: Barrington, Barrington Hills, Bartlett, Batavia, Bensenville, Berwyn, Big Rock, Blue Cross, Boulder Hill, Broker, group health plan, individual insurance, SHOP, the affordable care act
Posted in Group Health Insurance | Comments Off on Small Firms Hit by Big Changes in Health Coverage