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Kentucky

Qualifying for a Subsidy May Make You Ineligible for an HSA Plan

Zinser · May 8, 2014 · Leave a Comment

If someone buys a Health Savings Account (HSA) plan, federal law requires that health plan to have a deductible of at least $1,250 per individual and $2,500 per family.  

If you select a Silver level HSA plan on the exchange, if you receive special discounts, those discounts may make you ineligible for the HSA.

These special discounts will decrease the deductible and out-of-pocket costs.  Sometimes a subsidy can decrease these amounts enough to drop them below the federal government’s minimum deductible threshold for HSA eligibility.  If this happens, you will become ineligible for the HSA feature, but automatically enrolled in the base plan without the HSA component.  Unfortunately at this time there is no notification from the Exchange to alert the customer to this problem.  

If this happens to you, just realize you can keep your plan, but not the HSA feature.  

If you want the HSA feature, you will have to wait until the next open enrollment period to select a qualified plan.  

Some of this information was taken from an email I received from Anthem. Please consult with your tax advisor, and your insurance broker for your specific situation.   

Modified Community Rating

Zinser · May 25, 2013 · Leave a Comment

This week’s Business First of Louisville had an article about Modified Community Rating.  Director of Government Relations Lawrence Ford is quoted throughout the article.

Here’s the link:

http://www.bizjournals.com/louisville/print-edition/2013/05/24/modified-community-rating-system-is.html

Mr. Ford does a good job of explaining how this will impact Kentuckians rates.  He highlights two issues.  The first is younger people subsidizing the older population.  Insurance companies aren’t going to bring down older folks rates, they’re going to push the young population up to help offset the older population claims.  He also talks about the lack of a substantial penalty for those who don’t enroll.

Still something needs to be done about letting individuals buy whenever they get ill.  The way it’s currently set up that is what could happen.  I know there are talks about it, but we need something done soon before Jan 1, 2014.

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Zinser Benefit Service - Small Business Insurance

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