California Health News

News & Announcements about health insurance in California




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Agent Medi-Cal payments delayed again

August 14, 2014 By Kevin Knauss 3 Comments

Medi-Cal enrollment reimbursement to agents delayed again.

Contrary to Department of Health Care Services (DHCS) statements in their Medi-Cal Essentials webinar, agents will not be receiving any payments for assisting clients that were enrolled into Medi-Cal through a Covered California application in the near future. Recent email communication from Covered California to Certified Insurance Agents suggests thatcompensation of approximately $58 per Medi-Cal […]

Filed Under: Certified Agents, Covered California, Medi-Cal Tagged With: Medi-Cal, Payments

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

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

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

Agents paid $9.2 M monthly on IFP Covered California enrollments

June 5, 2014 By Kevin Knauss 7 Comments

Agents and Brokers are paid by the insurance company, not the client.

Covered California enrollments assisted by Certified Insurance Agents are producing a minimum of $9.2 million per month in commissions as estimated from enrollment statistics released by the states ACA exchange. While this number may sound impressive, a good chunk of the enrollments were for individuals and families who already had health insurance. With many health […]

Filed Under: Commissions, Covered California Tagged With: Commissions, Health Insurance, Premiums, Rates

Supporting agents to help their clients

May 28, 2014 By Kevin Knauss Leave a Comment

Covered California needs to spend more on agent training and support.

Agents and brokers drove in 39% of the enrollments for Covered California during the 2013-14 ACA open enrollment period with the least amount of training and resources of any group submitting applications. As Covered California starts their budget process allocating money for 2014 training, I had to speak publicly at a Board meeting and plead […]

Filed Under: Covered California Tagged With: ACA, Agents, Brokers, Covered California, Funding, Training

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