Changes from 2015 to 2016... Rules, Premiums, Plans, Exchanges, Etc.

I'm surprised John Harwood let this slip through (the truth)

Fewer plans to be on biggest Obamacare exchange in 2016

Fewer Plans To Be Offered On HealthCare.gov In 2016, Sources Say. CNBC Share to FacebookShare to Twitter (10/30) reports that the number of plans on HealthCare.gov "is decreasing by up to 12 percent compared with this year, industry sources told CNBC." Additionally, there will be a 40 percent reduction in the number of PPO plans on the Federal marketplace, sources said. According to the article, insurance industry sources "recently learned of the decreases from data sent to them by federal officials so they could prepare for the start of open enrollment in 2016 Obamacare plans this Sunday."
 
Zero gold or platinum PPO plans in 90% of Virginia this year. The other 10% has exactly one incredibly overpriced gold PPO plan (premium for family of 4 with two 55-year-old parents = affordable $2,812/month). Gonna have some happy clients!
 
I lost about 70% of my clients after the last open enrollment. Expect to lose the rest this time around.

Most of self employed. Earn too much to get a meaningful subsidy, not enough to afford health insurance.
 
My personal premium more than doubled once my pre-ACA plan was canceled (and that was for a higher deductible plan). After taking a quick peek at what's available next year, moving to a slightly higher deductible still means about a 20% increase in premium for next year.

Not to mention paying more taxes so others can get a subsidy.

From each according to his ability, to each according to his need.
 
Some new tidbits, but mostly more of the same........family glitch, HRA's, etc

IRS Releases Final Rule On Premium Tax Credits, Notice Addressing Employer Coverage

Premium Tax Credit Eligibility

The final rule begins by cleaning up one premium tax credit eligibility issue that has nothing to do with minimum value of employer-sponsored coverage. Eligibility for premium tax credits is based on household income, including the income of children or other members of the family who are required to file tax returns. Under certain circumstances parents are allowed to include their children's income in their tax returns.

The regulatory language clarifies that when a parent does this, the household's income includes the child's gross income included on the parent's return. The amount included for determining tax credit eligibility, however, is the child's modified adjusted gross income (MAGI), which is not necessarily the amount reported as gross income on the tax return. MAGI would also include, for example, the child's tax exempt interest and nontaxable Social Security income. The final rule clarifies how this is to be handled.
 
I agree, and I agree we're on life support. It may be possible to come off of it, but that's hard to see right now.

Plan B:
Page 88 of this document that was released back in october.
Who knew it would be important.
Come Dec 31st, I've got NOTHING to sell in SW Florida with UHC going to 0%, and FL Blue being captive.

I read it that we can charge fees, but based on state laws.
A/B = Agent / Broker


https://www.cms.gov/CCIIO/Resources...ns_Policy-and_Guidance_Final_9-30-2015_mb.pdf

CMS generally expects that consumers are not charged a separate transaction or service fee for shopping or enrolling in a QHP through a web-broker's website. CMS recognizes that web-brokers may have invested significant resources to develop special software to assist consumers with selection and enrollment in QHPs offered through the FFM, and some independent A/Bs may leverage those websites to facilitate QHP selection and enrollment. CMS believes that in these limited circumstances, where there is a bona fide service of value that goes beyond the traditional assistance provided by an A/B registered with the FFM, it may be appropriate to allow for the collection of an additional fee. However, any practice of collecting such fees from consumers for providing assistance with QHP selection and enrollment through the FFM would be subject to applicable state law. If permitted under state law, A/Bs and web-brokers that elect to pass on these types of costs to consumers for selecting and submitting QHP applications offered through the FFM through a non-FFM website should provide a disclaimer to consumers that: 1) clearly discloses the amount and reason for the fee, and 2) informs the consumer that he/she can apply through the FFM website (HealthCare.gov) at no cost.

Got it from:
You may be a HealthCare.gov "A/B" | LifeHealthPro
 
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