Skip to main content

CA SB 1431 Update (July 24) Stop-Loss Coverage

Just wanted to post a further update to SB 1431 which deals with small group (2-50 employees) in California using "stop-loss" or self-funded health plans.

Last week the bill passed Assembly with some revisions to stop-loss numbers. I mentioned in a previous blog ( CA SB 1431 Update (May 21) that some changes were being considered for this Bill.

The current version of CA SB 1431 has the following changes:

*Per employee deductible reduced from the original $95,000 to $60,000 (per employee and per dependent)

*Attachment Point for group stop-loss set at 135% of expected claims for the group

I will advise if and when SB 1431 is passed or not passed into law.



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


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.


Anthem supports parts of GOP health care bill

Anthem is the first health insurance company to weigh in on the GOP's American Health Care Act.  Anthem operates in 14 states including Anthem Blue Cross in California (Blue Shield of California is a separate insurance company).

The company warned two Republican House committee leaders Thursday that without "significant regulatory and statutory changes," it will begin to "surgically extract" itself next year from the 14 states where it participates on the individual market. 

Anthem specifically praised the creation of a $100 billion fund that states could use to subsidize the cost of caring for sick enrollees.highlighted the importance of continuing the Obamacare cost-sharing subsidies that reduce the deductibles and co-pays of lower-income enrollees.Anthem warned that if the cost sharing subsidies aren't funded and other reforms made, the market will "continue to deteriorate." 
Read the full article on CNN

Dave www.gilroyhealthinsura…