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News & Announcements about health insurance in California




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Mysterious System Changes to Covered California Accounts

August 6, 2014 By Kevin Knauss 20 Comments

County Medi-Cal offices can change a Covered California account under the user ID of System.

Have you ever wondered how one of your Covered California accounts got changed when you know that neither you nor the client touched application? Covered California accounts are being mysteriously changed without the applicants knowledge or consent. If you check the Transaction History of the account you might find that this mysterious user known as […]

Filed Under: Covered California, Medi-Cal Tagged With: CalHEERS, Changes, Covered California, Medi-Cal, Reporting, System

Medi-Cal basics for Certified Agents

August 5, 2014 By Kevin Knauss 2 Comments

Medi-Cal basics for Certified Agents.

Throughout the past year of enrolling individuals and families into the Covered California health plans, Certified Insurance Agents were in the dark when it came to Medi-Cal. The Department of Health Care Services held a webinar on July 31st to review of the essential basics of the Medi-Cal program. Even if you only review the […]

Filed Under: Certified Agents, Medi-Cal Tagged With: Medi-Cal

Review of IRS draft ACA tax credit reconciliation forms

July 31, 2014 By Kevin Knauss Leave a Comment

IRS tax Form 8965 draft: SLCSP equals Second Lowest Cost Silver Plan

With the release of the draft IRS forms for reporting advance premium tax credits and reconciliation with the household MAGI, health insurance agents might be called upon to know another part of the ACA, the dreaded tax forms. The variety of reporting statements individuals and families may receive from employers and the exchanges will require […]

Filed Under: IRS, Tax Credits Tagged With: 1095a, 8965, Credits, IRS, Tax

August enrollments delayed through Covered California

July 29, 2014 By Kevin Knauss 5 Comments

The subscriber ID issued from Covered California has nothing to do with the health plan Member ID.

For Certified Insurance Agents enrolling clients into health plans through Covered California for an August 1, 2014 effective date, many have been asking why it is taking so long for the enrollment data to be transmitted to the carrier. Customer Service Representatives at Anthem Blue Cross and Covered California acknowledged on July 28th that enrollment […]

Filed Under: Certified Agents, Covered California Tagged With: August, Covered California, Enrollments

IRS mid-year ACA tax credit check up

July 22, 2014 By Kevin Knauss Leave a Comment

IRS reminds families that if they make over 400% of the fpl, they will have to repay all the advance tax credits they received during the year.

The IRS issued a mid-year ACA tax credit check up advisory to remind individuals and families to report household changes if they are receiving Advance Premium Tax Credits to lower their monthly health insurance premiums. Most notable is the admonition that if the household income exceeds 400% of the federal poverty lineas reported on their […]

Filed Under: IRS, Tax Credits Tagged With: ACA, Credits, IRS, Repayment, Tax

Is a free health agent listing enough to counter Navigator marketing?

July 10, 2014 By Kevin Knauss Leave a Comment

Certified Insurance Agents listing.

With Covered California moving forward on the Navigator grant program consumers will have to contend with even more and potentially confusing marketing for ACA health plans this fall during open enrollment. The new Navigator program will allow non-profit organizations that receive grant money to create radio and TV commercials along with opening store fronts to […]

Filed Under: Certified Agents, Covered California, Navigators Tagged With: Agents, Certified, Covered California, Insurance, Marketing, Navigators

Covered California continues to keep agents in the dark

July 1, 2014 By Kevin Knauss 2 Comments

Covered California keeps certified insurance agents in the dark about system updates.

The Covered California CalHEERS online enrollment system continues to be upgraded to fix problems and accommodate household changes, but Certified Insurance Agents (CIA) are rarely notified of the updates. As CIAs helped enroll 40% of Covered California’s households and continue to update their clients changes through the system, agents deserve to be provided regular updates […]

Filed Under: Certified Agents, Covered California Tagged With: Baby, Certified Insurance Agents, Change, Income, Newborn, Qualifying Events, Reporting, Special Enrollment Period

Covered California approves Navigators soliciting health insurance

June 20, 2014 By Kevin Knauss 2 Comments

Covered California Navigator store front.

The Covered California Board approved a resolution at their June 2014 meeting to allocate $16.9 million toward establishing a Navigator program. Under the new Navigator program organizations awarded grants will be encouraged to open store fronts, theyll receive bonuses for exceeding enrollment projections and theyll be allowed to advertise their services. Short of requiring an […]

Filed Under: Covered California, Navigators Tagged With: ACA, Certified Agents, Covered California, Grants, Navigators

Confusing CoveredCA LMS letter to agents

June 19, 2014 By Kevin Knauss Leave a Comment

Covered California letter regarding LMS confuses agents about being de-certified.

It what seems to be a core principle of Covered California, they have sent out another confusing letter, this time regarding the Learning Management System and agent certification. In a relationship where agents take nothing for granted when it comesto Covered California, hundreds of certified agent called the SHOP line to inquire if they were […]

Filed Under: Certified Agents, Covered California Tagged With: Certified Agents, Covered California, Lerning Management System, Letter

Are California SHOP enrollment projections over estimated?

June 6, 2014 By Kevin Knauss Leave a Comment

Are Covered California SHOP enrollment projects inflated to meet the budget?

Covered California staff is forecasting that SHOP enrollment will double by the end of 2014 and double again during open enrollment for 2015. A list of assumptions was given for the stellar forecast enrollment during the May 2014 Board meeting where the topic was revenue projections from fees charged on individual small group members. Based […]

Filed Under: Covered California, SHOP Tagged With: Covered California, Enrollment, Projections, SHOP, Small Group

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