2015 Health Insurance: Things to Know!

Yes, we know there is still a long way to go in 2014, but we suggest you think ahead when it comes to health insurance for yourself and your family. The Affordable Care Act was big news in 2013, we’re not sure it was possible to miss the changes that occurred within the health care system in the United States. We’re not sure sure we’ll have the constant reminders in 2014, so we’ve added a few tips to keep you in the loop as you think about your families health care needs.

For coverage starting in 2015, the proposed Open Enrollment Period is November 15, 2014 – February 15, 2015. Individuals may also qualify for Special Enrollment Periods outside of Open Enrollment if they experience certain events.

  • Change for Effective Date if a Pre-ACA Plan Individual Plan is Terminated in 2014 — The effective date will be the 1st of the month following receipt of the application.
  • Change for Newborn — A birth triggers a Special Enrollment Period that allows the family to enroll for coverage, change a plan or add the baby as a new dependent. Also the baby can be enrolled as a Child Only Policy.
  • Change for Marriage — A marriage triggers a Special Enrollment Period that allows a new couple to enroll for coverage, change a plan or add a dependent(s).
  • Proof of State Residency for Non-US Citizens — Beginning next week, we will be asking non US citizens to confirm their state residency to ensure that they are eligible for plans selected.
  • COBRA — A Qualifying Event is triggered when COBRA coverage is exhausted at the end of the COBRA period.
  • Legal Guardianship — Legal Guardianship is a Qualifying Event and treated similar to a birth or adoption.
  • Permanent Move — We need proof of prior and new residence location.
  • Employer’s Bankruptcy — If this results in the loss of coverage for retirees, then this is considered a Qualifying Event for these retirees.