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.
Are California SHOP enrollment projections over estimated?
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 […]
Is there a Covered California Agent Commission Crisis?
Through casual conversation and on various Internet forums numerous agents and brokers have mentioned they arent getting paid commissions for business they submitted through Covered California. Is there a crisis of commissions not being paid to Certified Insurance Agents? Without reliable data from the agent community it is hard to tell if the missing commissions […]
Covered California SHOP delays agent commissions
Covered California’s Small Business Health Options Program (SHOP) announced on May 7th that agent commissions will once again be delayed. This comes on the heels of last months announcement that SHOP hoped to pay commissions at the end of April. SHOP has had to completely move all billing data for the small groups enrolled onto […]