Insurance News

  • DOL Publishes Guidance on $15 Minimum Wage for Federal Contractor Employees January 17, 2022
    Federal Contractors Can Use New Guidance To Understand and Implement EO 14026 On Jan. 13, 2022, the U.S. Department of Labor (DOL) published Field Assistance Bulletin (FAB) 2022 1 to help federal contractors understand and implement a $15 minimum wage
  • Supreme Court Stays OSHA ETS Vaccination and Testing Mandate January 14, 2022
    Employers Are Not Required to Comply with the Vaccination or Testing Mandate At This Time On Jan. 13, 2022, the Supreme Court of the United States (SCOTUS) ruled to stay the Occupational Safety and Health Administration’s (OSHA) vaccination and testing
  • Supreme Court Reinstates Vaccine Requirement for Health Care Workers January 14, 2022
    CMS Likely Will Resume Enforcement of the Emergency Rule  On Jan. 13, 2022, the U.S. Supreme Court dissolved the temporary injunctions blocking enforcement of the Centers for Medicare & Medicaid Services (CMS) emergency rule requiring COVID 19 vaccination of certain
  • Agencies Issue Guidance on Coverage of OTC COVID-19 Tests January 10, 2022
    Coverage of OCT COVID 19 Test To Be Covered Without Health Care Provided Involvement On Jan. 10, 2022, the Depts. of Labor, Health and Human Services (HHS), and the Treasury issued FAQ guidance regarding the requirements for group health plans
  • CDC Recommends Shorter COVID-19 Isolation and Quarantine December 30, 2021
    Asymptomatic Individuals Must Now Isolate For Five Days  On Monday, Dec. 27, 2021, the Centers for Disease Control and Prevention (CDC) reduced its recommended periods for COVID 19 isolation (confirmed COVID 19 infection) and quarantine (potential COVID
  • New York Adopts Final Regulations for Paid Sick Leave December 29, 2021
    The New York State Department of Labor has adopted final regulations for the state’s paid sick leave law. The regulations are unchanged from the Dec. 9, 2020, proposed regulations and cover the topics of definitions, documentation, employee count and accruals.
  • NYC Employers Must Allow Leave for Child COVID-19 Vaccinations December 28, 2021
    New York City has enacted a law requiring employers to provide paid leave for employees to accompany their children to COVID-19 vaccination appointments and care for them during vaccine recovery.
  • Supreme Court to Hold Hearings on Federal Vaccine Mandates December 24, 2021
    OSHA Will Delay Enforcement Until January 10 On Dec. 22, 2021, the U.S. Supreme Court announced that it will hear oral arguments regarding whether two federal vaccine requirements can be enforced while legal appeals are in process. On Jan. 7,
  • Court Reinstates OSHA Vaccination Mandate for Private Employers December 19, 2021
    The Reinstatement Allows OSHA To Implement And Enforce Compliance With The ETS Nationwide  On Friday Dec. 17, 2021 the 6th Circuit Federal Court of Appeals reinstated the Occupational Safety and Health Administration’s (OSHA) federal emergency temporary standard (ETS) for COVID
  • IRS Announces 2022 Standard Mileage Rates December 17, 2021
    On Dec. 17, 2021, the IRS issued the 2022 optional standard mileage rates, which are used to calculate the deductible costs of operating an automobile for business, charitable, medical or moving purposes.

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.