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Showing posts with label Exchanges. Show all posts
Showing posts with label Exchanges. Show all posts

Why are United HealthCare and Aetna dropping individual/family plans in California?

On July 2, 2013 the California Insurance Commissioner Dave Jones verified that both United Healthcare and Aetna Insurance intended to exit from California's individual health insurance market by the end of 2013.

"United Healthcare's decision to exit the California individual health insurance market is bad news for consumers," said Commissioner Jones. "While both United Healthcare and Aetna have a very small share of California's individual health insurance market, their departure means less choice, less competition, and more market consolidation by the remaining big three health insurers - Anthem Blue Cross, Blue Shield of California, and Kaiser - which means an increased likelihood of even higher prices from those health insurers downstream."


"One of the factors I believe contributed to this decision, even if the two companies are disinclined to acknowledge it, is the special tax break that California law gives to Anthem Blue Cross and Blue Shield, which has allowed and continues to allow those two companies to avoid paying $100 million in state taxes a year," added Commissioner Jones. "Aetna and United Healthcare don't get the special tax break provided to Anthem Blue Cross and Blue Shield, and so they faced a major competitive disadvantage in California.


"Policy holders from both companies will be able to keep their existing health insurance through the end of 2013.  Policy holders with those companies will be able to purchase health insurance from other health insurers inside and outside the new California health benefits exchange.
Medicare plans such as Medicare Advantage plans, Prescription Drug Plans, and Medicare Supplement Plans are not expected to be to be affected by the announcements from these companies.

What Healthcare Reform mandate did the President recently change?

The President recently announced that the requirement that employers provide health insurance for employees has been delayed for some employers.  Employers with more than 50 employees are still required to provide health insurance in 2014 for their employees or face penalties.  Those with fewer than 50 employees will have an additional year before they must provide health insurance.  These requirements will still face court challenges.

When will the state Insurance Exchanges be in place?

The state insurance exchanges are slated to be in place by January 2014.  Several states have chosen not to create there own exchanges.

When can I enroll in the new plans offered through the Affordable Care Act (healthcare reform)?

The insurance exchanges are expecting to be open starting October 1, 2013.  You will be able to enroll for an effective date of January 1, 2014.

How do health insurance exchanges work?

The health insurance exchanges are simply individual insurance plans that are offering their services through the state run programs.  These companies have placed bids and have been selected by the state exchanges.  Most people will still be able to purchase individual insurance through insurance companies that have chosen not to offer their plans through the state.

Will the state of Wisconsin provide an insurance exchange (marketplace) under the healthcare reform law?

The state of Wisconsin is not planning on creating a state insurance exchange (marketplace).  For individuals wishing to search the state marketplace, they will need the utilize the the federal website.

The companies participating in the the insurance exchanges are offering a basic plan and advice through the exchanges is provided by non-licensed advisers. To explore the insurance plans being offered outside of the exchange, visit rra4ins.com.