Covered California has released instructions for navigating the Special Enrollment Periods consumers are eligible for when they have a qualifying event. It’s important that the online application be filled out a certain way for different qualifying events.
VSP vision insurance coming to Covered California
Covered California and VSP® Vision Care have partnered to offer consumers a pathway to vision coverage. Beginning February 16, consumers will have access to shop for VSP vision benefits via a specific Covered California link found on CoveredCA.com. This link will go-live on February 16.
Covered California extends agent assisted consumer enrollment until February 6
While open enrollment for individual and family insurance ends January 31, 2016, Covered California is granting Certified Insurance Agents the ability to enroll consumers in health plans until February 6. Covered California sent out an Agent Alert notifying Certified Insurance Agents that they can still help consumers who missed the January 31st deadline to enroll in health insurance for 2016 without a qualifying event for a Special Enrollment Period.
Covered California 2015 1095-A support documentation
Covered California has released a variety of documents to support agents and enrollers with assisting consumers with 1095-A questions. Included in the files are the letter of 1095-A notification being sent to consumer, a quick reference chart, and a job aid on where to find a consumer’s 1095-A online.
Health Net Covered California missing enrollments
Health Net is continuing to reach out to our Individual & Family Plan (IFP) members who do not appear in Covered California’s files. This effort began in December when we first learned of the data mismatch from Covered California.
Covered California Small Business Plans Expand to 100 Employees
The definition of a small business in California has expanded to include groups with 1-100 full-time equivalent (FTE) employees. Second, the Affordable Care Act (ACA) employer mandate now requires businesses with at least 50 full-time equivalent employees to provide health coverage for their employees and dependents or face a tax penalty.
Covered California 2016 deadline extended until December 17th
Due to very high demand for health insurance through Covered California, the deadline to enroll for coverage starting January 1 will be extended through 11:59 pm on December 17 to accommodate the surge in interest.
Foster Youth, Pregnancy, Medi-Cal updates to Covered California online enrollment
Covered California has updated their online application for 2016 open enrollment to automatically determine the eligibility of former foster youth and pregnancy coverage for Medi-Cal programs. In previous online versions the applicant was directed to the respective program for more information and final eligibility determination. In many situations the new Covered California enrollment website will help place the individual directly into the program they are eligible for.
2016 changes to Covered California small group plans
Small employer group plans acquired through Covered California Small Business program will see benefit and coverage changes consistent with changes implemented for individual and family plans in 2016. Covered California has released a spread sheet comparing the 2015 benefit level to the new 2016 benefits by coverage type. The most significant changes will occur on Bronze level plans where coinsurance is rising from 30% to 100% after the deductible for many covered benefits. In addition, Kaiser and Health Net will be discontinuing their Silver 70 H.S.A. plans.
Maps of subsidy eligible neighborhoods created by Covered California
These maps identify targeted areas of remaining uninsured or privately insured consumers, representing Covered California subsidy-eligible target populations. In addition, the maps identify locations of Covered California Agents and Community Partner Storefronts, Navigator Grant Program Entities, Certified Application Entities, Certified Insurance Agents, and Community Outreach Network Partners.
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