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Showing posts from June, 2013

Healthcare Plan Renewal Loophole Divides CA Insurers

Interesting article in today's LA TImes regarding whether or not the state will allow any carrier selling California individual & family health plans in 2014 to reset a December 2013 renewal on non-compliant non-grandfathered health plans to "ride it out" for all of 2014.

The Covered California health plan solicitation requires those plans providing exchange coverage to terminate their non-grandfathered individual health plans by the end of 2013.  Any carrier not participating in Covered California that intends to sell plans outside of the exchange is not bound by this solicitation rule.

The primary concern with this strategy is that carries who do not terminate in 2013 may cherry pick young healthy people and offer them the option to keep potentially lower plan rates for an extra year.  Given that the participation of these same young healthy individuals is critical to the success or failure of Covered California in the short term, this could create a large problem do…

Agents, Shmagents! LA Unified to Empower Students to Sell Obamacare

In a June 20 Heartland article, the Los Angeles Unified School District received almost $1 Million in grant money from Covered California to teach students how to sell Obamacare plans to their families and friends.  Apparently the students, in addition to learning the three Rs, are going to be schooled in the ways of Obamacare, PPACA and Covered California so that they can act as "messengers to their own families".  It also appears that in addition to students, staff and perhaps even teachers will be involved in selling health insurance plans for Covered California.
LAUSD will also use tax-paid staff to promote ObamaCare through phone calls to students’ homes, in-class presentations, and meetings with employees eligible for ObamaCare’s taxpayer-covered healthcare, the grant award says.If the project is successful, Los Angeles families can expect more use of students to push government-preferred messaging. “Teens are part of a ‘pilot’ program to test whether young people can be…

Aetna Suspends Individual Health Sales in California July 1

Aetna has announced this morning that it will suspend any further sales of individual & family health insurance in California effective July 1.

This follows on to the announcement on Saturday that Aetna would be (again) abandoning the California Individual Health Market.

Effective July 1, 2013, Aetna will no longer offer Aetna Advantage Plans for Individuals, Families and the Self-Employed in California.
After reviewing our individual health insurance plans in California, we determined we can no longer meet our customers' needs and remain competitive in that market. A number of factors were considered in making this decision. While it was a difficult decision, in keeping with the best interests of our customers, we believe there are other insurers that can better meet their needsAetna is no longer accepting applications for California health insurance for both individual underwritten coverage and HIPAA.


Aetna Pulling Out of California Individual Market

The Wall Street Journal is reporting that Aetna will stop selling individual & family coverage in California by the end of 2013.  

Aetna leaving individual insurance market in California, WSJ says
As the federal health law is set to reshape the insurance market in 2014, Aetna will stop selling health insurance to individual consumers in California at the end of 2013, says the Wall Street Journal.
 I will advise if and when I receive information on how Aetna plans to handle in-force grandfathered health plans for individuals & families.  I would suggest anyone with an Aetna individual health plan be prepared to move onto new Obamacare compliant coverage on January 1, 2014.

Wall Street Journal Article