Insurance News

  • California Supreme Court Clarifies that Time Spent in Security Screenings is Compensable February 21, 2020
    The Court's Decision Is Enforceable and Retroactive The California Supreme Court issued a decision in Frlekin v. Apple, Inc. (Frlekin) clarifying that, under state law, compensable time or “hours of work” includes the time an employee spends  on the employer’s
  • Reminder: Creditable Coverage Disclosures due to CMS by Feb. 29 for Calendar Year Plans February 13, 2020
    Employers that offer prescription drug coverage to Medicare-eligible individuals are required to complete an online disclosure form with the Centers for Medicare & Medicaid Services (CMS) on an annual basis and at other select times, indicating whether the plan's prescription drug coverage is creditable or non-creditable.
  • Two New Model COBRA Notices Available from the DOL February 11, 2020
    The Department of Labor (DOL) has released updated versions of its model COBRA General Notice and model COBRA Election Notice, both with an expiration date of Jan. 31, 2023.
  • DOL Releases New Model Employer CHIP Notice February 11, 2020
    The Department of Labor (DOL) has released a new model Employer CHIP Notice with information current as of Jan. 31, 2020.
  • Virginia Employers Must Provide Itemized Wage Statements to All Employees February 6, 2020
    The requirement Became Effective January 1 Beginning this year, employers in Virginia must provide their employees with an itemized wage statement each regular pay date. Before this requirement became effective, Virginia employers were required to provide wage statements only upon
  • Maryland Enacts “Ban the Box” Law February 5, 2020
    Law Takes Effect Feb. 29, 2020 Maryland has enacted a "Ban the Box" law. Highlights of the law are presented below. Covered Employers The new law applies to Maryland employers with 15 or more full time
  • Employers Must Begin Using New Form I-9 by May 1 February 3, 2020
    The New Form Will Expire on Oct. 31, 2022 On Jan. 31, 2020, the U.S. Citizenship and Immigration Services (USCIS) published a new version of Form I 9 Employment Eligibility Verification. The previous version of this form expired Aug.
  • New Jersey Expands Wage Statement Requirements February 3, 2020
    New Requirements Become Effective May 20 State law already requires New Jersey employers to notify their employees of their payroll deductions, for each period when a deduction is made. However, on Jan. 21, New Jersey amended its law to require
  • New Jersey Employers To Provide Severance Pay for Mass Layoffs January 31, 2020
    New Requirements Become Effective July 19 On Jan. 21, 2020, New Jersey adopted significant changes to the Millville Dallas Airmotive Plant Job Loss Notification Act (New Jersey WARN Act). The New Jersey WARN Act, much like its federal counterpart, the
  • Colorado Employers to Comply with New Wage Payment Requirements January 29, 2020
    The new Overtime and Minimum Pay Standards Order Becomes Effective March 16 On Jan. 22, 2020, the Colorado Department of Labor and Employment (CDLE) announced the adoption of the Colorado Overtime and Minimum Pay Standards Order #36 (COMPS 36). COMPS

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.