Insurance News

  • California Strengthens Lactation Accommodation Protections October 18, 2019
    California has adopted a new law that strengthens lactation accommodation protections for employees. The new law becomes effective on Jan. 1, 2020 and is similar to San Francisco’s lactation accommodation law.
  • South Dakota Announces 2020 Minimum Wage Rate October 15, 2019
    The South Dakota Department of Labor and Regulation announced that the state minimum wage rate will increase $9.30 per hour on Jan. 1, 2020.
  • Vermont Announces 2020 Minimum Wage Rate October 14, 2019
    Vermont has announced that the state minimum wage rate will increase to $10.96 per houron Jan. 1, 2020.
  • DOL Proposes to Amend Employee Tip Regulations October 10, 2019
    On Oct. 8, 2019, the U.S. Department of Labor (DOL) published a proposed rule to amend employee tip regulations under the Fair Labor Standards Act.
  • Montana Announces 2020 Minimum Wage Rate October 10, 2019
    On Sep. 30, 2019, the Montana Department of Labor and Industry announced that the state minimum wage rate will increase from $8.50 to $8.65 per hour.
  • Ohio Announces 2020 Minimum Wage Rate October 8, 2019
    New Rate Becomes Effective on Jan. 1 Ohio has announced a new minimum wage rate of $8.70 per hour for nonexempt employees. The state minimum wage rate applies to employers that gross $319,000 per year or more. The
  • Alaska Announces 2020 Minimum Wage Rate October 2, 2019
    New Rate Becomes Effective on Jan. 1 The state of Alaska has announced a minimum wage rate of $10.19 per hour for 2020. The minimum wage in the state is adjusted annually using the Consumer Price Index for urban consumers
  • California Adopts New Worker Classification Standard October 1, 2019
    California has adopted a new law that changes the process for determining whether a worker should be classified as an employee or independent contractor.
  • DOL Issues New Salary Limits for Overtime Exemptions September 24, 2019
    On Sept. 24, 2019, the U.S. Department of Labor (DOL) announced a new final rule that updates the salary thresholds that some individuals must meet in order to qualify for a minimum wage and overtime exemption under the federal Fair Labors Standards Act (FLSA).
  • Reminder: Sept. 30 and Oct. 1 are Key Massachusetts PFML Deadlines September 19, 2019
    The end of the month marks important employer deadlines for Massachusetts Paid Family and Medical Leave (PFML).

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 canceled? On-exchange policies must be canceled directly with healthcare.gov, either over the phone or online. Off-exchange policies are canceled 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 a commission for on-exchange plans. You must re-certify each year.