Future with ACA ... Do agents have a place?

[goillini52]

Hell yes it's a huge problem baldy !!!! Lmao . It's freakin fraud and costing taxpayers billions

So, from now on Dean will be known as Baldy.

 

[Yagents]

Really, that's huge problem. Stop with the conspiracy crap.

Don Don is right.
I have Millionaires paying $0 premium legally

 

[RH ACA Health]

Most ACA leads available are people calling in looking for free money or something and agents put them on a subsidy aca plan and make them think they are getting something. Avg call center model here in South Florida is $80-$85 CPA plus paying agent. In addition take a $25 month plan and minus $4 becasue of the advance you are getting. So avg $21 a month per Client. My question is if anyone cares to chime in- what is the long term for these plans. Especially if people just dont 100% understand how it works, and also Trumps new plans to make $5 premium on renewals. Its funny to see people "building a book" spending money. I just dont see long term on this, maybe a year on the books if that.

 

[DonP]

Most ACA leads available are people calling in looking for free money or something and agents put them on a subsidy aca plan and make them think they are getting something. Avg call center model here in South Florida is $80-$85 CPA plus paying agent. In addition take a $25 month plan and minus $4 becasue of the advance you are getting. So avg $21 a month per Client. My question is if anyone cares to chime in- what is the long term for these plans. Especially if people just dont 100% understand how it works, and also Trumps new plans to make $5 premium on renewals. Its funny to see people "building a book" spending money. I just dont see long term on this, maybe a year on the books if that.

Put a fork in aca for most agents . Obviously the rev model is changing drastically. The flip the plan to change the Aor over . 80% of the aca business in the non open enrollment was 150% fpl or less mkt . That's history and it should . Much of that business was people who got sick or needed surgery jumping on a plan . Adverse selection was deadly for carriers . Another dagger in enrollment is legitimately verifying income sources. I bet 40% of people on aca lied about income or had little income . Tax returns must be reconciled in 1 yr and not 2 or the subsidy gone . In the low income mkt I bet 20-25% of aca people didn't file returns as many didn't work or had cash type jobs . The min $5 a month premium on renewals is big for low income . Why do you think so many call centers wrote 94% csr people bronze plans ? Because a good % of low income people won't pay that $10-$40 a month premium every month . They write them the $0 premium to get paid . We haven't even got to subsidies yet which republicans will hit hard . It's true the fraud in aca has been staggering . I've read reports enrollment could drop 20-25% in 2026.

 

[Jim Wright]

Put a fork in aca for most agents . Obviously the rev model is changing drastically. The flip the plan to change the Aor over . 80% of the aca business in the non open enrollment was 150% fpl or less mkt . That's history and it should . Much of that business was people who got sick or needed surgery jumping on a plan . Adverse selection was deadly for carriers . Another dagger in enrollment is legitimately verifying income sources. I bet 40% of people on aca lied about income or had little income . Tax returns must be reconciled in 1 yr and not 2 or the subsidy gone . In the low income mkt I bet 20-25% of aca people didn't file returns as many didn't work or had cash type jobs . The min $5 a month premium on renewals is big for low income . Why do you think so many call centers wrote 94% csr people bronze plans ? Because a good % of low income people won't pay that $10-$40 a month premium every month . They write them the $0 premium to get paid . We haven't even got to subsidies yet which republicans will hit hard . It's true the fraud in aca has been staggering . I've read reports enrollment could drop 20-25% in 2026.

I disagree with Adverse Selection. Because of enhanced subsidies, there were tons of people with plans who didn't use them. Further than that, there is smoothing on the ACA. If a carrier in a state is below the MLR, the other carriers make up the difference. It keeps the market stable.

The thing that kills rates the most is silver loading. Carriers increase silver rates to get more reimbursement for CSR's. In turn, driving the silver rates up, increases the subsidies available because they are calculated on the 2nd lowest cost silver plan in the area. Since subsidies will be up carriers, can increase rates on other metal tiers as well because the subsidies will keep the cost low for members

 

[DonP]

I disagree with Adverse Selection. Because of enhanced subsidies, there were tons of people with plans who didn't use them. Further than that, there is smoothing on the ACA. If a carrier in a state is below the MLR, the other carriers make up the difference. It keeps the market stable.

The thing that kills rates the most is silver loading. Carriers increase silver rates to get more reimbursement for CSR's. In turn, driving the silver rates up, increases the subsidies available because they are calculated on the 2nd lowest cost silver plan in the area. Since subsidies will be up carriers, can increase rates on other metal tiers as well because the subsidies will keep the cost low for members

I'm in the trenches every day and I see the incredible # of unemployed 40-60 yr olds that jumped on these plans the moment they got sick . The report drum Trumps team says adverse selection being able to enroll monthly adds 4% to premiums