Guaranteed issue is music to my ears!! We don’t need to worry about that irregular test. That 30 pounds we need to lose or other issues that caused a decline or a rated up policy. This wonderful freedom comes with a set of rules. Covered California rules did not clarify this enough. I am surprised that many do not realize they can’t buy a plan at any time of the year.
Why do Open Enrollment Rules exist?
Some people would not purchase insurance until they had a calamity or surgery. They might buy insurance just in time for the hernia surgery (example) and that might cost $15,000. The insurance company would pay their share and the patient theirs. After the surgery they might drop it. This same person might buy the most expensive plan with the most coverage. They would consider the small monthly payments a bargain compared to the actual cost of the surgery. Insurance companies understand. That is why you must have rules that state you need to enroll at certain times. Those times are called OPEN ENROLLMENT. Currently open enrollment will begin again November 15, 2014. This will allow a member to obtain insurance beginning January 1, 2015. Currently there is confusion and conflicting information on open enrollment times for the Guaranteed Issue plans and Covered California plans. This is why I am not completely outlining it.
Qualifying Event Rules. Here are a few: Adoption of a child, loss of a job, relocation from another state, and death of a spouse . Remember QUALIFYING EVENT ENROLLMENTS need to be acted on within 30 DAYS of the qualifying event. Just CALL us. We will check. Remember you can apply with a Covered California or directly with one of the insurance companies. We can help you either way.
A Special Enrollment period has been introduced. Those who are on COBRA or California Cobra can switch to a private insurance plan or Covered CA plan. They must enroll by July 15, 2014. Take care in doing this. You will lose your deductible dollars. The new plans have different physician networks. It pays to evaluate all of the options. Remember your deadline is July 15, 2014 for a plan effective date of August 1, 2014. Do not cancel your current insurance until you are certian you have a policy and it has accepted your premium. You will also have another Open Enrollment date at the end of this year.