Skip to main content

PCIP To Agents: Thanks, now take a hike!

The federal PCIP (and those states who have the federal PCIP instead of a state run version) announced today that effective May 1, PCIP will discontinue the agent/broker referral fee. PCIP claims that the enrollment numbers in the PCIP have 'increased dramatically' in the last six months and they no longer need agents/brokers to assist individuals with the plan benefits and enrollment.

Coincidentally, the dramatic enrollment increase was experienced during the short cycle that federal PCIP actually paid the one-time referral fee to agents and brokers to assist with enrollment into the program.

In California, the PCIP is run by the state via MRMIB and initially paid a $50 one-time referral fee identical to MRMIP. When federal PCIP added agent compensation in October, 2011 to try and increase enrollments, they offered $100 per applicant and CA PCIP increased the fee to $100 one-time to match the federal PCIP. Six months later, federal PCIP is cancelling the referral fee altogether and I would expect CA PCIP to either reduce back to $50 or down to zero to match federal PCIP.

This is bad news for individuals seeking assistance with PCIP benefits, formularies, provider networks and enrollment in the PCIP. I have enrolled quite a few people in both MRMIP and PCIP in recent months and neither has been a particularly easy process. I continually get calls from people who already applied for PCIP and were never enrolled, PCIP never received their application paperwork, or they were denied enrollment for reasons that were at best 'unclear'.

Sadly, the end result of this action, in addition to other recent anti-agent actions, will be further attrition of experienced health insurance agents willing to work with people under 65.



Popular posts from this blog

Right Angle: ObamaCare At Death's Door

The Right Angle team (Bill Whittle, Scott Ott and Steven Green) on the Bill Whittle YouTube Channel give their take of the current state of the Affordable Care Act.  

Some very interesting information in this video.  

Oren Cass Manhattan Institute Article referenced in the video:

No, Obamacare Has Not Saved American Lives


Mo Brooks Introduces One Line Bill to Repeal Obamacare

Mo Brooks (R-AL) has entered a one sentence bill for repeal of the ACA (ObamaCare). Seen as more of a symbolic gesture (the bill did not go to vote in the House), he gets right to the point in a succinct fashion...

“Effective as of Dec. 31, 2017, the Patient Protection and Affordable Care Act is repealed, and the provisions of law amended or repealed by such Act are restored or revived as if such Act had not been enacted.”
Full article from The Libertarian Republic


Kaiser Foundation Interactive Subsidy Map (TrumpCare vs. ObamaCare)

An interactive subsidy map provided by Kaiser Foundation allows you to see the impact of tax credit subsidy (2020) versus income-based subsidy (current).  Sorted by county in all 50 states.  Those above 400% federal poverty level would do much better, those below, depends on county and income.  Most below 200% would do much worse.  

Subsidies under ACA are based primarily on income.  Tax Credits would be based primarily on age.