NAHU Webinar Recap

[VolAgent]

Less widely known is a special penalty that applies only to companies that do offer coverage: a $3,000 penalty for each employee who qualifies for, and accepts, a federal premium subsidy for coverage purchased through the state-based exchanges. An employee is eligible for such a subsidy, and can thus trigger the penalty, if the employee's share of the health insurance premium is "unaffordable" – which is defined as more than 9.5% of the employee's family income, if the employee's family income is also between 138% and 400% of the federal poverty level (FPL). The intent appears to be to discourage employers from "dumping" their lower-income employees onto the taxpayers by setting high employee premium share – although it
might just as well discourage employers from hiring people from low-income families.

When informed of this provision, employers naturally ask, "How are we supposed to know our employee's family income?"

Just how big a conspiracy theorist are you? It could be the government's latest attempt at controlling the populace. This would encourage employers to hire DINKS, as they have two salaries to raise the income and no kids to raise the poverty level threshold.

 

[somarco]

licensed in Florida will have to show all plans for the state of Florida and therefore be appointed with all companies doing business in Florida to put someone in the exchange?

That would be my assumption. Same would be true if you were licensed in Alaska.

Unlike the MAPD or PDP market where you are free to show any plan you are certified to sell, Alibamacare seems to be different.

Even if you aren't appointed with all xchg carriers, what happens if you show Humana and Golden Rule but not Blue because you aren't appointed with them and can't get appointed (through no fault of your own)?

Post 2014 is a new ball game and in spite of the fact there are some very bright folks on this forum I doubt we have come even close to covering all the "what if's".

Just how big a conspiracy theorist are you? It could be the government's latest attempt at controlling the populace. This would encourage employers to hire DINKS, as they have two salaries to raise the income and no kids to raise the poverty level threshold.

Well, you aren't paranoid if they really ARE out to get you.

An employer is certainly able to GUESS at family income, but how are they supposed to know AGI?

 

[taterpeeler]

well, I suggest everyone keep their tadpole clean and not pee off any of their carriers...... here is the funny one if an agent has assigned comp on lets say humana come post oct 2013 they cant get out of the assignment and cant see the plan due to a falling out with the mga... they are s.c.r.e.w.e.d..... big time

 

[somarco]

Maybe we should all assign our commissions to HCO so we can keep receiving them . . .

 

[bluediamond]

I guess Florida Blue will have to lift the captive clause for individual or loose a **** load of agents. That's get's me to thinking about the blue stores, all they'll be able to write is Florida Blue. Oh my what's a carrier to do.
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Yes, Bill thanks. It's ashamed you and Cigna are the only ones keeping us up to date. If Florida Blue is doing anything they sure are keeping it secret from the agents.