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Covered California Says No to Obama/Jones

Today Covered California, the California state health exchange, stood by their rule requiring all exchange carriers to terminate non-grandfathered coverage plans on 12/31/13.  

President Obama's recent decision to allow a one-year extension of non-grandfathered coverage had no real force as each state must decide independently whether or not to allow it.

California has chosen not to allow it for carriers participating in the exchange.

As a recap, any health insurer participating in the Covered California exchange is required, per the terms of the exchange health plan solicitation, to terminate non-grandfathered health plans on 12/31/31 or have a plan to terminate in place by 12/31/13.

Certain non-grandfathered plans will be extended a bit into 2014 but the majority will terminate on 12/31/13.

The following plans are terminating during the first 3 months of 2014:

*Health Net Life & Health PPO plans with effective dates on or after 10/1/13 extend to 3/31/14
*Anthem Blue Cross Life & Health PPO plans that were part of a 1-day late mail drop, approximately 104,000 members can extend by request to 2/28/14
*Blue Shield Life & Health PPO plans due to a late mailing may extend by request to 3/31/14



  1. What about the providers?? If you didn't opt out back in 2012 with Anthem you are now stuck taking Pathway network members from what Anthem told me today. Yet Anthem cannot tell me what the rates are they will be paying providers. Do you have any info???


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