More Health Exchange Guidelines Released

Am I getting out? NO! But I'm dumb. Don't be dumb!

YEA....Don't be a Chump.....not even sure if it was worth my time to build this page..... Affordable Insurance Exchange Texas ........... or this one ....Texas Health Insurance Exchange ....... or posted topic's like this Texas refuses to launch health insurance exchange..... and ....Built To Fail: Health Insurance Exchanges Under The Affordable Care Act ............. you just have to sit back and say what am I going to do with all these lemons......

 
Last edited by a moderator:
A day late and a billion dollars short. We'll see if they can put humpty dumpty back together again:

CMS taps Terremark cloud services for insurance exchanges | Government Health IT

The Centers for Medicare and Medicaid Services will use the cloud computing services of Terremark Federal Group Inc., of Herndon, Va., to support its Healthcare.gov plan finder and the system demands of the health insurance exchange program being created in the 50 states.
 
Here's more information...The way that this legislation is written, an exchange will have to be able to support itself. I guarantee an exchange will pay flat referral fees of $50 or so. But outside the exchange residual commissions may continue unless carriers model everything after the exchange. In or out of the exchange they will both be hammered with pre-existing conditions. I just posted an article about background checks through Homeland and IRS audits must be done in the exchange for individuals and business owners herding employees in. I can tell you many business owners won't go there and will stay outside the state exchange in the private side.
 
I was having lunch with someone who has exchange inside yesterday and he told me that one of the biggest problems is that any employer who has even one employee go to the exchange in lieu of the group plan would be fined on ALL of the employees in the company even if the rest of the employees remain on the employer's plan.
 
If that's the case, it's imperative that brokers know this and encourage employers to understand and act accordingly, starting NOW.
 
It's to ensure fairness, that everyone pays a maximum 8% income or so out of their pocket. If violated, employee is not getting fair treatment and can go to the exchange. Here's the kicker, if lower income and they are eligible for medicaid for free on the exchange, the employer has to pay 100% or it's better for EE to go to the exch. This puts the employer in a pickle. In fact, it may be better for the EE to take a pay cut to the medicaid for free.

I'm not positive on the specifics, but the general ideas above are being debated and waiting for guidance.
 
any employer who has even one employee go to the exchange in lieu of the group plan would be fined on ALL of the employees in the company even if the rest of the employees remain on the employer's plan.

Look at pg two of this document

First paragraph under Potential Penalties in 2014.
 
Back
Top