Help with Group and 1 Sick Employee

[ARCCFIS]

I apologize in advance as I am very new to group health insurance, so maybe this is a quick simple answer.

The situation is as follows: Have a group health plan that would be for 25 employees, overall younger demo, got a great rate with a non-guaranteed issue plan before finding one employee requires a monthly injection that costs over $60,000 a year. Doubled the premium.

Is there anyway to move this employee to another plan? Is there a way to move him to Obamacare and reimburse him for his insurance?

 

[scagnt83]

I apologize in advance as I am very new to group health insurance, so maybe this is a quick simple answer.

The situation is as follows: Have a group health plan that would be for 25 employees, overall younger demo, got a great rate with a non-guaranteed issue plan before finding one employee requires a monthly injection that costs over $60,000 a year. Doubled the premium.

Is there anyway to move this employee to another plan? Is there a way to move him to Obamacare and reimburse him for his insurance?

Are you quoting a self-funded plan? Or is it some kind of list-bill mini-med type plan?

Generally speaking, you cant carve out a single employee because of health reasons.

If they are offered a Qualified Group Health Plan from their employer that is considered "affordable", they will not be eligible for obamacare subsidies.

It sounds like you need to put this group in a fully funded Qualified Group Health Plan.

 

[somarco]

Appears ARCCFIS is in over his head and decided to move on.

 

[Key2Success]

Appears Somarco doesn't have a clue and makes ASSumptions!

 

[kgmom219]

Appears Somarco doesn't have a clue and makes ASSumptions!

Right back at ya..

Since the post was from FEBRUARY. Somarco was right on target. Again.

 

[Key2Success]

Right back at ya..

Since the post was from FEBRUARY. Somarco was right on target. Again.

No Bubba, the issue was SOLVED. you ASSumed....YET AGAIN!

 

[kgmom219]

No Bubba, the issue was SOLVED. you ASSumed....YET AGAIN!

How do you know?

Do you have 2 user names? Sleep with the guys sister? A crystal ball?

 

[somarco]

Guess I need to unblock some folks so I can follow the conversation.

But then, I remembered. I really don't care what some folks post which is why I block them.

Oh, and thanks for the support, Jen.

Just noticed someone I am ignoring has 392 posts and no likes. Hope they don't get their feelings hurt

 

[LGilmore]

That guy is still around? SMH