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Old 10-12-2013, 08:22 PM   #41
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Thank you Tinlizzy. That helps.

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Old 10-13-2013, 05:53 AM   #42
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Originally Posted by tinlizzy View Post
I took the above ruling to mean that those plans must meet the minimum essential coverage requirements if they are offered to former employees but if, as a former employee, you are not enrolled (even though you may be eligible), you may seek insurance/subsidies on the exchanges.
We were given notice that we would have to make a positive choice this year to stay in the program. Seems like I can choose to not re-enroll in the employer program and use the new ACA process. Not sure I want to move on to Medicaid though so will see what information shows up in the mail!

Thanks for the help so far!
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Old 10-13-2013, 09:59 AM   #43
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I dug up the actual ruling for retirees http://www.gpo.gov/fdsys/pkg/FR-2013...2013-21157.pdf

Pg.53650 (B.3) of the document
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Old 01-15-2014, 03:10 PM   #44
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Oh dear, I thought I had a plan, but now I'm not so sure. I just retired 1/3 (yay for me) and was planning on taking COBRA for a couple of months, then signing up under ACA before the end of the open enrollment period in March. That way I can nail down what my income will actually be for 2014.

Then I found this article claiming that if you're eligible for COBRA, then you can't get premium assistance under ACA: The COBRA Catch With Covered California Health Plans

After scrutinizing the verbiage under B.3 suggested in the previous post I became slightly more confused.

Quote:
However, the final regulations provide that, for the lack of affordable coverage exemption, an individual will not be eligible for retiree coverage
unless the individual enrolls. Therefore, an individual who is eligible for retiree
coverage but does not enroll disregards that eligibility in determining
qualification for the lack of affordable coverage exemption.
It sounds that actually enrolling in COBRA might make me ineligible for something, but I'm not quite sure what. My question is: will it make me ineligible for premium assistance?
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Old 01-15-2014, 03:43 PM   #45
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Oh dear, I thought I had a plan, but now I'm not so sure. I just retired 1/3 (yay for me) and was planning on taking COBRA for a couple of months, then signing up under ACA before the end of the open enrollment period in March. That way I can nail down what my income will actually be for 2014.

Then I found this article claiming that if you're eligible for COBRA, then you can't get premium assistance under ACA: The COBRA Catch With Covered California Health Plans

After scrutinizing the verbiage under B.3 suggested in the previous post I became slightly more confused.



It sounds that actually enrolling in COBRA might make me ineligible for something, but I'm not quite sure what. My question is: will it make me ineligible for premium assistance?
Here's a clear answer from the Kaiser Family Foundation FAQs section (http://kff.org/health-reform/faq/health-reform-frequently-asked-questions/) on the ACA:

I'm leaving my job and will be eligible for COBRA. Can I shop for coverage and subsidies on the marketplace instead?

Yes, leaving your job and losing eligibility for job-based health coverage will trigger a special enrollment opportunity that lasts for 60 days. You can apply for Marketplace health plans and (depending on your income) for premium tax credits and cost sharing reductions during that period. If you enroll in COBRA coverage through your former employer, however, you will need to wait to the next Marketplace open enrollment period if you want to switch to a Marketplace plan.
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Old 01-15-2014, 03:58 PM   #46
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Thanks, that answers the somewhat tangential question about when I'm eligible to sign up for the ACA - but since it's open enrollment through 3/31/2014, that answer seems somewhat moot.

I'd appreciate opinions though, on whether signing up for COBRA would make me ineligible for premium assistance as discussed in the article that I quoted.
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Old 01-15-2014, 04:21 PM   #47
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I believe the article you referenced is incorrect. The FAQ on healthcare.gov answers your question

https://www.healthcare.gov/what-if-i...d-on-my-income

I wouldn't bother with COBRA for a few months of coverage anyway. Just use your best estimate for income and it can be adjusted during the year if changes happen.
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Old 01-15-2014, 04:34 PM   #48
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Ah yes, perfect!

They do advise keeping your COBRA coverage until ACA coverage begins, so I'll be doing that.

I'll only know my income for this year after I decide whether to sell my house or not ... potential profit > single persons $250K allowance.
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Old 01-15-2014, 04:40 PM   #49
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If ACA (after any subsidies) is cheaper, wouldn't you be better off to sign up for ACA coverage as soon as possible and then let your COBRA coverage lapse?
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Old 01-15-2014, 04:53 PM   #50
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As an optimist, let's say I make a profit of $350 on my house (bought in '98), then my income for the year would be north of $100k, making me ineligible for any premium assistance.

Due no doubt, to my aging bones, CoveredCA is quoting me $695pm for a reasonable silver plan which is quite a lot more than the $480 or so I'd expect to pay for COBRA (estimated; haven't received paperwork yet).

So COBRA saves me over $200pm unless I decide to stay put. Ah, decisions, decisions.
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