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How can I obtain Health Insurance during the Special Enrollment Period in 2016?

The 2016 Open Enrollment period for obtaining health insurance ended January 31, 2016.  We are now in the Special Enrollment Period,wherein no changes can be made to your health insurance contract until the next Open Enrollment Period begins, which will be from November 1st, 2016 through January 31st, 2017 . The Special Enrollment Period runs from […]

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Watch out for your 1095-A form so that you accurately file your 2015 taxes in 2016

Californians who applied for health insurance  through Covered California in 2015 will receive within the next weeks a 1095- A form. This is a health Insurance Medical Statement. In Section 1 it lists the health insurance policy name, the health insurance you were signed up with at the start & end date of coverage. Section 2 list the individuals […]

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Proposed Regulations on 2017 Benefit and Payment Parameters

On November 20, the Department of Health and Human Services (HHS) issued proposed regulations that address a wide range of Affordable Care Act (ACA) benefit provisions that will be effective for 2017 plan years. Published each fall, these rules will be finalized in the spring for the following year. Here is an overview of some […]

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My Experience with Oscar Health Insurance in Los Angeles so far

As an insurance agent I am always eager to learn about new health insurance options,  such as California’s 2016 Oscar Health Insurance for 2016 in California and Covered California.  I make a point in trying each of the systems myself so I can share my experiences with my clients and potential clients . In 2014 […]

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What is the tax penalty for not carrying health insurance in 2016?

The open enrollment to apply for health insurance ends Janaury 31st 2016, there are still some Californians who decides not to carry health insurance . Here are is an overview of the tax penalty for 2016 . What happened if I do not pay health insurance in 2016? ● 2016 tax penalty: the annual individual responsibility payment is the greater of ○ 2.5%of the taxpayer’s household income that is above the tax return filing threshold for the taxpayer’s filing status, or ○The taxpayer’s flat dollar amount, which is$ 695 per adult and $347.50 per child, limited to a family maximum of $2085. ● However the total payment amount is capped at the cost of the national average premium for a Bronze level hath plan available through the Marketplaces in 2016 […]

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When Should I Choose to Pay The Penalty?

Usually it’s safer to just get health insurance, rather than risking ending up having to pay doctors and hospitals thousands (or hundreds of thousands) of dollars. However, there is a case that is an exception to this rule. You might want to consider differently if you’re generally healthy and have a solid network of providers […]

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Special Enrollment Period for Small Businesses seeking health insurance for 2016

A very low-key  Special Enrollment Period for small businesses seeking group health insurance in 2016  ends on Monday, December 15th, 2015 in California . During this brief time period , from November 15th to December 15 2015, Small businesses who are seeking health insurance will not be required to meet the general enrollment guideline of […]

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How Do I Pick A Health Insurance Plan?

Picking a health insurance plan can be a tough choice. Start by writing down the main features of the plans you are considering, and compare them with each other. Be sure to write down any questions you have regarding the plans, and look information up along the way. Gather together important details, such as whether […]

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Hitting The “Out-of-Pocket Maximum” : Is Everything Else Covered?

So, you have paid the out-of-pocket maximum (rates varying depending on what type of plan you have) under the Affordable Care Act. Does this mean that everything else is now covered? Unfortunately not. Despite having hit the maximum, you will still have to pay any health insurance premiums, any treatments not directly covered buyout health […]

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Once I Choose My Plan, Can I Set It And Forget It?

The answer to this question is a resounding no. Reevaluate your health plan and your needs every year. Never stay with a plan just because it’s convenient! Always be looking into new plans, or changes that might be occurring with your current plan. Networks,Co-payments, Co-insurance and deductibles are always changing, and, these days, those are […]

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