Joe Paduda did an excellent job with the latest edition of the Health Wonk Review over at Managed Care Matters. My favorite post in the HWR comes from Tim Jost, writing at Health Affairs. His article, about what would replace the ACA if it were repealed, is an excellent read. Jost digs deep into the… Read more about Health Wonkery – replacing Obamacare, covering undocumented immigrants, and much more
Archives for April 2015
A new job is not a qualifying event for a SEP
Now that open enrollment is over, the only way people can enroll in individual health plans is with a qualifying event. This applies both on and off the exchange. Outside of open enrollment, individual/family health insurance is only for sale if you’ve got a special enrollment period triggered by a qualifying event. So what constitutes… Read more about A new job is not a qualifying event for a SEP
What if your coverage gap spans two calendar years?
Last week, I wrote a post detailing exactly how the ACA’s “short coverage gap” exemption works. In a nutshell, as long as your gap in coverage is less than three months long and you maintain coverage for the rest of the year, you don’t have to pay a penalty for being without coverage. In that… Read more about What if your coverage gap spans two calendar years?
A dependent child’s income and MAGI for Medicaid/subsidy eligibility
For many of our clients, income and subsidy eligibility determination have replaced medical underwriting as a source of confusion when enrolling in a new health insurance policy. If your income is above 400% of the poverty level (for current enrollments, that’s anything above $46,680 for a single person, and $94,500 for a family of four), it… Read more about A dependent child’s income and MAGI for Medicaid/subsidy eligibility
Short Gap in ACA coverage – IRS Says Three Months is Too Long
One of the exemptions from the ACA’s individual mandate penalty is for people who have a short gap in ACA coverage. According to the IRS regulations (see page 53654), there’s no penalty as long as the “continuous period without minimum essential coverage is less than three full calendar months and is the first short coverage… Read more about Short Gap in ACA coverage – IRS Says Three Months is Too Long