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45 years of insurance expertise and
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We can help you with Individual & Group Health insurance including the new Health Exchange for both Individual and Shop (small business) coverage.
Craig's advice..
"Open enrollment for Health insurance effective January 1st, 2018 is available November 1, 2017 - December 15, 2017. So unless you qualifying for a Special Enrollment Period (see below) you can't get health until that time."
The 4 metal plans
Plans in the Health Insurance marketplace consist of 4 "metal” categories ( Catastrophic plans are also available to some people ). Metal plans are based on you and your plan split health care costs.
- Bronze 60% average plan pays
- Silver 70% average plan pays
- Gold 80% average plan pays
- Platinum 90% average plan pays
Qualifying events for a Special Enrollment Period
There are 9 triggers that would permit you to obtain health coverage outside the annual open enrollment period. Contact our office for further detail on each.
- Involuntary loss of other coverage Cancelling the plan or failing to pay the premiums does not count as involuntary loss.
- Individual plan renewing outside of the regular open enrollment. allows a special open enrollment for people whose health plan is renewing – but not terminating – outside of regular open enrollment.
- Becoming a dependent or gaining a dependent as a result or birth, adoption, or placement in foster care.
- Marriage If you get married, you have a 60 day open enrollment window that begins on your wedding day.
- Divorce If you lose your existing health insurance due to a divorce and other (court ordered children coverage, etc.).
- Becoming a United States Citizen this qualifying event only applies within the exchanges.
- A permanent move to an area where different qualified health plans (QHPs) are available. A permanent move to a new state will always trigger a special open enrollment period, because each state has its own health plans. Even a move within your state may apply.
- An error or problem with enrollment (or non-enrollment) that was the fault of the exchange, HHS, or an enrollment assister
- Employer-sponsored coverage reducing benefits such that it no longer provides minimum value, or becomes unaffordable - employee pays more than 9.66 percent of income for just the employee’s portion of the coverage in 2016