July 2013 Newsletter

HEALTHCARE REFORM LAW – INDIVIDUAL MANDATE AND EXCHANGES

As discussed in previous newsletters, there are many components to the Healthcare Reform Law (PPACA). A major component of the law regarding large employer groups was affected a few weeks ago.

The large group employer mandate was to be implemented on January 1, 2014. This part of the law also went by the phrase “play or pay”. The implementation date has been delayed until January 1, 2015. This part of the law is for employers that have more than fifty(50) full time employee equivalents. If an employer does not offer coverage or offers unaffordable coverage, there will be a penalty. Again, this part of the law is delayed for a while.

Individual Mandate

The individual mandate is still on track for introduction on January 1, 2014. In essence, everyone must purchase a health insurance program or pay a penalty. An individual has options for purchasing health insurance. They can obtain coverage through their employer, obtain coverage through the traditional market or through the new insurance market exchange.

 

If a person goes uninsured, they risk paying a penalty. In 2014 the penalty is the greater of $95 or 1% of taxable income. And that penalty increases each year thereafter.

Exchanges

Effective January 1, 2014, there will be a new way to purchase health insurance: the Health Insurance Marketplace (Exchange). The intent is for individuals and small businesses to be able to shop on-line from various insurance carriers.

Each state must establish their own Exchange or utilize the Federal Program Exchange. And Missouri has opted to use the Federal Program. Many components such as choices of insurance carriers, plans and implementation are still ongoing. If an individual believes they qualify for a subsidy, they will need to purchase their coverage through the Exchange.

As each month goes along in 2013, we will learn more about further implementation of Exchanges, and I will keep you posted via the newsletter.

Mark Your Calendar

On Thursday, August 22nd I will be hosting an open house at my office in Kirkwood. Doors will be open from 5:00 – 7:00 PM. Please stop by for food and refreshments. The event is also part of the Kirkwood Des Peres Chamber of Commerce Business After Hours program.

Please note that along with health insurance products, I also work with many employer groups on Voluntary Worksite Products. And I am also certified to assist individuals with Long Term Care plans.

Thank you for your time and the opportunity to work with you on your insurance needs.

Scott