Recent content by dgoldenz

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    Fly On The Wall View as CA Shapes Its Exchange

    There has been a lot of talk on the agent/insurance company side of things about more limited networks for policies purchased through the exchanges than outside of the exchanges. This seems to confirm the system heading in that direction.
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    Humana HDHP Renewal -15% increase

    Plans outside the exchange will not be medically underwritten (as far as we know under current rules), but if they are not metal plans you would still be subject to the penalty. Pretty stupid to make people with HSA plans pay a penalty and restrict the availability of them to people under age...
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    Humana HDHP Renewal -15% increase

    The late-2014 renewals are being talked about by a lot of companies. Aetna has already said they will offer this for group policies, so groups may elect to renew in December 2013 instead of their regular renewal date in 2014. This will keep them from getting hit with bigger increases until the...
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    Another nutty medical cost

    Looks like pricing varies by dosage. 115mg is $1047/mo according to Humana. Here it is along with a few other fun ones:
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    Humana HDHP Renewal -15% increase

    They aren't lying, they just don't have the HHS guidance to give you a different answer yet. The law as written states that all non-grandfathered plans must adhere to any and all requirements imposed by the law, including all of the essential health benefits, which your existing plan does not...
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    Humana HDHP Renewal -15% increase

    x2 States like MA, VT, NY, NJ that already had guaranteed-issue policies will probably see only a slight increase or decrease in premiums. States like VA, DC, MD, OH that have significantly lower average costs will see huge increases for anyone under the age of ~55.
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    Humana HDHP Renewal -15% increase

    $11.9k deductible HSA plans are not going to be qualify as metal plans. They don't have a 60% actuarial value and the "catastrophic" (a.k.a. HSA) plans available under the metal tiers are only available to people under age 30 or with insurance costs over 9.5% of income. Unqualified HSA plans...
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    Humana HDHP Renewal -15% increase

    The "rumors and grapevine" I referenced are coming straight from the horse's mouth, they are just not officially published because final guidance from HHS has not been given yet. Each company I sell for has stated either in webinars or over the phone that all non-grandfathered plans will be...
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    Humana HDHP Renewal -15% increase

    The price isn't going up for everyone, I never said that. Prices will go up for those with HDHP/HSA plans and younger/healthier people, while prices will generally go down for the older/sicker people who are already paying high rates. The idea of all policies being terminated on 12/31/13 or...
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    Humana HDHP Renewal -15% increase

    Sorry you didn't like my response. In 2014 there will not be any metal plans for $430/mo for a 54 and 64 year old couple unless they qualify for a subsidy. Average rates for that age are expected to be $600-1000/month or more depending on the plan type. Rumors are that carriers will terminate...
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    Humana HDHP Renewal -15% increase

    When your policy renews in 2014 and they offer you the option to switch to a "metal" plan or terminate it, $430/mo will look cheap by comparison.
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    Another nutty medical cost

    One of my recent clients wanted to buy an individual policy instead of paying for COBRA. Their child takes Solodyn for dry/itchy skin. Solodyn costs over $1,000/month. They pay $50/mo copay for it and had no idea it was so expensive. Third party payments are one of the biggest cost-drivers...
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    2014 preliminary individual health insurance rates announced in Vermont

    We'll see how long those rates last when all of the young people refuse to pay that much for health insurance. There is no way I could even sell the "catastrophic" plan to younger families @ $700-800/month. Thanks for the link though.
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    90YO dash

    That would be the guy on the right from the race perspective.
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