Tag Archives: open enrollment

Obamacare Penalties lead to possible open enrollment

Democrats Beg Obama to Bend Obamacare Rules to Avoid Tax Penalties for Millions – Breitbart.

Reps. Sander Levin (D-MI), Jim McDermott (D-WA), and Lloyd Doggett (D-TX) have strongly requested a special sign-up for the uninsured who will all be hit with a $325 fine or two percent of their income (whichever is higher) for failure to enroll in 2015. In 2016, the Obamacare tax penalty will be an average $1,100, reports the Associated Press. For 2014, the Obamacare tax was $95 or one percent of income.

“Open enrollment period ended before many Americans filed their taxes,” the three lawmakers said in a statement. “Without a special enrollment period, many people (who will be paying fines) will not have another opportunity to get health coverage this year.”

They passed the law to find out what was in it, and they didn’t see this coming?

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Enrolling outside of Open Enrollment

What events, technically called Qualifying Life Events (or QLE’s) allow you to enroll outside of Open Enrollment? The Colorado Exchange or as they prefer to be called, “Marketplace” has released an excellent document that describes these events:

Continuation of Health Coverage: Know Your Options

Pay special attention if you are deciding whether to enroll in COBRA or select a plan (and possibly premium assistance) via the Marketplace. You must notify Connect for Health Colorado, or the Federal Exchange, within 30 days of your termination date.

Download (PDF, 2.61MB)

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HELP! Open enrollment is over, can I still purchase health insurance?

Yes, no, maybe so.

To avoid the Obamacare penalty and purchase a Qualified Health plan, you’re too late UNLESS a Qualified Life Event (QLE) has occurred. If you have a QLE, then a Special Enrollment Period (SEP) will be created that will allow you a specified time to enroll.

What is a QLE?

Loss of Minimum Essential Coverage due to:

  • Divorce of legal separation
  • Change in full time employment status
  • Employer no longer offering coverage
  • Voluntary or involuntary termination of employment
  • Death of parent or spouse
  • Change in dependent status (i.e. dependend child turning 26 years old)

Gaining or becoming a dependent due to:

  • Marriage
  • Birth of child
  • Adoption of child
  • Placement for adoption of child
  • Guardianshipo/court ordere dependent

Other events:

  • Permanent move to a new state
  • Existing coverage is being changed to a qualified health plan

 

When you experience a qualifying life event, you will be able to enroll or change your health insurance within 60 days of the event.

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Extending open enrollment

Health Insurers Are Extending Enrollment, EHealth Says – Bloomberg.

 

EHealth has identified at least one health insurer in 14 states that will continue enrolling consumers past the deadline, said Nate Purpura, a spokesman for the Mountain View, California-based marketplace. He declined to name the insurers, saying eHealth would need permission from each company.

All in all, I think extending open enrollment isn’t such a bad thing. Still inquring minds want to know:

  1. Which parts of the law mean what they say?
  2. Hmmm. open enrollment started October 1, where have these people been?
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Open Enrollment: 43 days to sign up for Obamacare

Including today, there are 43 days left to sign up for Obamacare. Open enrollment ends March 31st. After March 31st, to enroll into Obamacare requires a qualifying event. Examples of a qualifying event include birth of a child, divorce, lost of job, lost of company coverage, etc. A qualifying event does NOT include being injured in a car crash, diagnosis of a critical illness or any other medical issue.

If you miss open enrollment and there are no qualifying events, the soonest major medical coverage will be available to you is January 1, 2015.

There are other type of coverage available, but they are NOT major medical. If you’re in Colorado, Wisconsin or Michigan, please contact me, Chris Adams, at 303.495.3045 or 877-694,5164 to review your options.

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