Archive for the ‘insurance’ Category
‘Slacker’ health insurance now mandatory
Starting 90 days from the passage of the health care bill, whether you have kids or not, consumers will be required to purchase with any health care coverage they obtain, plans which cover dependents living in the home up to age 26.
July 23rd, 2010 | National Health Care Reform Legislation, insurance | Read More
Children’s Health Insurance Program Reauthorization
Extends current reauthorization period of CHIP for two years, through 2015, and include a 23 percentage point increase in federal medical assistance percentage rates from 2016 through 2019.
Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | Read More
Individual Requirement to Have Health Insurance
Beginning in 2014, people will be required to have minimal essential coverage through public programs, the military, employers, the individual market, or the insurance exchanges. People who cannot demonstrate on a tax form that they have such coverage will be required to pay a penalty equal to the greater...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | Read More
Cost-Sharing Subsidies and Out-of-Pocket Limits
Limits will be placed on the amount of cost-sharing for families with low and moderate incomes. Subsidies will limit cost-sharing such that the costs covered by the silver plan (70 percent of costs covered) will increase to: 100%–150% FPL: 94% – 150%–200% FPL: 87% – 200%–250% FPL: 73%...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | Read More
Four benefit categories
The legislation establishes four benefit categories—bronze, silver, gold, and platinum—all of which will have the essential health benefits package. Policies cannot be sold in the small-group and individual market or exchanges that do not meet the actuarial standards for the benefit categories...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | Read More
Qualified Health Plans
Qualified health plans are those that are certified by the exchanges, provide the essential benefit package, are licensed and in good standing, comply with market regulations, and offer at least one qualified plan at the silver and gold levels. Qualified health plans can be sold outside the exchange...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | Read More
Qualified employers purchasing through the exchange
Employers that are qualified to offer coverage to their employees through the exchange may provide premium support for a level of coverage (e.g., bronze, silver, gold, platinum) and employees may choose a plan within the designated level.
Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | Read More
Federal responsibilities
The HHS secretary’s responsibilities with respect to the exchanges include: establishing certification criteria for “qualified health plans” that will be sold through the exchanges; requiring such plans to provide the essential benefits package; requiring that the licensed insurance...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | Read More
Temporary reinsurance program for employers providing health insurance to non-Medicare retirees
Creates a temporary reinsurance program for employers providing health insurance coverage to retirees
over age 55 who are not eligible for Medicare. This program would reimburse employers retrospectively
80% of claims between $15,000-90,000, which will be indexed for inflation. It will end on January...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance, new programs | Read More
Premium credits
Premium credits: The federal government begins subsidizing individuals up to 400% of the federal poverty line – around $88,000 today for a family of four. These credits will subsidize individuals purchasing insurance in exchanges (but not those with traditional employer-sponsored plans).
Source: NFIB
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | Read More
Health insurance exchanges
Health insurance exchanges: Exchanges open to individuals and small businesses with up to 50 employees. (An individual state may opt to increase that number to 100.)
Source: NFIB
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | Read More













