August 2013 Newsletter


Each day brings a new regulation or adjustment with the Healthcare Reform Law (Affordable Care Act – ACA). A month ago, the employer mandate for large groups was delayed and earlier this week it was announced that the maximum out of pocket provision would also be delayed until 2015. This part of the health insurance policy was to assist individuals in keeping their medical expense at a manageable amount.


On Thursday, August 22nd I will be hosting an Open House/Business After Hours at my office in Kirkwood. It is in conjunction with a few other tenants in office building and is in partnership with the Kirkwood Des Peres Chamber of Commerce. It runs from 5:00 – 7:00 PM. Burgers, brats, appetizers, refreshments for all. Please stop by even if for a few minutes.


Some of you may have received rebate checks from your insurance carrier. This is based on part of the law that went into effect in 2011 regarding the Medical Loss Ratio. Under the law, an insurance carrier has to spend at least 80% of their medical premium on medical expenses on their individual and small group business statewide. If they do not, then the insurance carrier must provide a rebate to those policyholders. As an employer, you may have questions on how these funds need to be dispersed. Please don’t hesitate to contact me regarding the guidelines.



Many of the insurance carriers are providing an opportunity to provide an “early renewal” in December of this year. The intent is to allow the member or employer group an opportunity to keep their plan until December 2014. With many key components of the law taking effect January 2014, this would provide eleven (11) months before changes would need to take effect. Again, this may or may not be a fit for you, but I will keep you posted as information becomes available.


As stated in previous newsletters, the Marketplace (Exchanges) will be another vehicle for individuals and small business owners to purchase coverage. There is an intensive training program for agents to sell on the Marketplace. I have completed all components and soon will be able to assist you with these programs. There still is no information out in Missouri regarding the insurance carriers, plans and rates. Stay tuned. The Marketplace may or may not be a fit for you.

Please note that along with health insurance products, I also work with many employer groups on Voluntary Worksite Products. 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.