Insurance News

  • DOL Releases Updated Model Employer CHIP Notice August 7, 2018
    The U.S. Department of Labor (DOL) has updated its model notice for employers to provide information on eligibility for premium assistance under Medicaid or the Children's Health Insurance Program (CHIP). This notice is generally updated twice a year.
  • New Expiration Date for Certain Model FMLA Notices is Aug. 31 August 2, 2018
    The U.S. Department of Labor's Wage and Hour Division (WHD) has extended the effective date for some of its model FMLA notices through August 31, 2018.
  • Protect Your Business Against Spear-Phishing Emails July 26, 2018
    Cyberattacks and resulting data breaches often begin with a spear-phishing email. Spear phishing differs from regular email phishing in its use of extensive research to target a specific audience, which allows the spear phisher to pose as a familiar and trusted entity in its email to a mark. Read this newsfeed update to learn tops to protect your business ag […]
  • South Carolina Updates Employment Discrimination Poster July 24, 2018
    South Carolina has updated its employment discrimination poster to include required language regarding pregnancy accommodations.
  • Delaware Adjusts Minimum Wage Increase Effective Date July 19, 2018
    Delaware has adjusted its minimum wage increase to $8.75 per hour to take effect on January 1, 2019.
  • Summary Annual Reports Due Sept. 30 July 18, 2018
    Health plans with 100 or more plan participants at the beginning of a plan year are generally required to furnish a Summary Annual Report (SAR) to each health plan participant within 9 months after the end of a plan year. As a result, the deadline for most calendar year plans to satisfy the SAR requirement for plan year 2017 is September 30, 2018.
  • Delaware Raises Minimum Wage July 16, 2018
    Under a new law, Delaware’s minimum wage will increase to:
  • Oklahoma Passes Medical Marijuana Law July 12, 2018
    Effective July 26, 2018, Oklahoma law will generally prohibit employers from discriminating against a medical marijuana patient in hiring, termination, or any term or condition of employment.
  • Court Strikes Down Parts of CA Immigration Law July 11, 2018
    As a result of a recent federal district court ruling, California employers are no longer prohibited from:
  • New Expiration Date for Certain FMLA Notices is July 31, 2018 July 9, 2018
    The U.S. Department of Labor's Wage and Hour Division (WHD) has extended the effective date of several model FMLA notices through July 31, 2018.

INDIVIDUAL INSURANCE FAQ’s

Is a qualifying event required to enroll on an individual plan outside of open enrollment? Yes, individuals cannot enroll outside of open enrollment without a qualifying event. Proof of the qualifying event is required with the application; the applicant cannot be enrolled without this.

 

How do I know if my client has a qualifying event? Here are some common examples of qualifying events. This is not an all-inclusive list so please refer to healthcare.gov for more information.

  • Marriage
  • Having a baby
  • Losing job-based coverage for any reason, including resigning, getting laid off, or getting fired
  • Expiration of COBRA coverage
  • Losing coverage under your parents’ plan at age 26
  • Getting divorced or legally separated (resulting in loss of coverage)
  • Losing eligibility for Medicaid or the Children’s Health Insurance Program (CHIP)
  • Permanently moving outside your plan’s coverage area

How long does my client have to apply after their qualifying event? Typically, up to 60 days after the event. If the client does not apply within the 60-day time frame they may have to wait until the next open enrollment period to get coverage.

How is an on-exchange individual policy cancelled? On exchange policies must be cancelled directly with healthcare.gov, either over the phone or on-line. Off exchange policies are cancelled directly with the carrier.

Do I have to be certified to sell on-exchange plans? Yes! In order to sell on-exchange plans brokers must certify annually via CMS. If you are not certified you cannot sell or receive commission for on-exchange plans. You must re-certify each year.