health insurance Archives - Page 4 of 6 - DesignHealth Benefit Advisors

Insurance Premium Regulators Step In

October 25, 2015 / Design Health / All Posts, Health Insurance, In The News

This time of year health insurance carriers submit their insurance premium rates for 2016 to regulators for approval. With healthcare premiums already rising it was a surprise to see Florida regulators telling some carriers to raise their requested premium increase. Both Human and Blue Cross & Blue Shield of Florida were among those whose final rates were higher than they’d first filed, reports Bloomberg Business. Alex Kepnes, a Humana spokesman said the approved increase incorporated updated information from the U.S. Government on ACA programs designed to spread cost, known as reinsurance and risk adjustments. Regulators are able to push insurance to raise their […]

Insurance Premium Regulators Step In Read More »

Open Enrollment for 2016 is Fast Approaching

October 22, 2015 / Design Health / All Posts, Did You Know?, Health Insurance

Often times people are not informed of the new regulations that govern the ACA and the main issue we have seen is Open Enrollment. Open Enrollment is a window of time that allows individuals to enroll in health plans for the following year. This is the only time that individuals are allowed to enroll in a plan for the following year unless they have a qualifying event during the years time frame. Many people believe that they can simply enroll in a health plan at any given time and be safe from a tax penalty, but that is not the case. For 2016

Open Enrollment for 2016 is Fast Approaching Read More »

How does a Deductible and an Out-of-Pocket Maximum Work?

October 20, 2015 / Design Health / All Posts, Did You Know?, Health Insurance

When an individual or family enrolls in healthcare they are often bombarded by insurance jargon that isn’t the easiest to understand. The health insurance world speaks a different language than what most of us are used to. So what exactly is an out of pocket maximum and how does that work with a health plan deductible? An out of pocket maximum is the most you’ll have to pay during a policy period (usually Jan 1st-Dec 31st) for health care services. Once you’ve reached your out-of-pocket maximum, your plan begins to pay 100 percent of the allowed amount for covered services. I

How does a Deductible and an Out-of-Pocket Maximum Work? Read More »

Cadillac Tax

October 11, 2015 / Design Health / All Posts, Health Insurance, In The News

It sounds like a tax on the new shiny car you just purchased, but when you are talking about healthcare it’s something entirely different. Cadillac Tax coined term for the excise tax of 40% of the value of employer sponsored health insurance plans that exceeds $10,200 for individuals and $27,500 for families, and takes effect in 2018. There are many parts of the Affordable Care Act (ACA) that need to be revised and this is one of the major ones that’s on the Democratic candidates agendas. The majority of Republican candidates aren’t even looking at the Cadillac tax because they want

Cadillac Tax Read More »

A Health Co-Op Doing It Right

October 4, 2015 / Design Health / All Posts, Health Insurance, In The News

With news revolving around health co-ops that are closing their doors at the end of this year it’s nice to hear about one that are confident about keeping their doors open. U.S. Sen. Cory Gardner asked, “Has Colorado HealthOp been meeting its application projections, or has it been placed on boosted oversight by your agency?” A rather poignant questions, but one that has to be asked as yet another co-op in New York is ordered to stop writing new business and close its doors after current policies expire. A nice reprieve to the constant news of co-ops closing was Colorado HealthOp’s

A Health Co-Op Doing It Right Read More »

Another Co-Op Closes

August 30, 2015 / Design Health / All Posts, Health Insurance, In The News

This past Wednesday news was buzzing with yet another co-op closing its doors. Nevada Health co-op will be the third cooperative health insurance company that was created by the Affordable Care Act (ACA) to close their doors. The reports are that they can’t keep up with challenging market conditions and cost. When you go to Healthcare.gov and look into plans offered in Las Vegas, one of the largest cities in Nevada there are only three carriers that come up. You’re putting a brand new company up against Blue Cross Blue Shield and Health Plan of Nevada who is operated by United Healthcare.

Another Co-Op Closes Read More »