What if I lost my job and health insurance and don’t know when I’ll be employed again?

Contrary to hours being cut but remaining employed, when it comes to losing employment (and health benefits) altogether, there’s a little bit more action to take. The following information is from healthcare.gov:

If you lost your job-based health plan: You may qualify for a Special Enrollment Period if you lost health coverage through your employer or the employer of a family member in the past 60 days OR you expect to lose coverage in the next 60 days, including if you lose health coverage through a parent or guardian because you’re no longer a dependent. Note: Losing coverage you have as a dependent doesn’t qualify you for a Special Enrollment Period if you voluntarily drop the coverage. You also don’t qualify if you or your family member loses coverage because you don’t pay your premium.

If your employer reduced the hours you work and you’re enrolled in a Marketplace plan: Update your application immediately within 30 days to report any household income changes. You may qualify for more savings than you’re getting now.

If you were furloughed: In some situations depending on the status of your health coverage from your employer, you may qualify for a Special Enrollment Period. You may be eligible for a premium tax credit to help pay for Marketplace coverage too.

If you have COBRA continuation coverage:

– If you’re entitled to COBRA continuation coverage after you lost your job-based coverage, you may still qualify for a Special Enrollment Period due to loss of coverage. You have 60 days after your loss of pre-COBRA job-based coverage to enroll in Marketplace coverage. You may also qualify for premium tax credits if you end your COBRA continuation coverage.
– If you’re enrolled in COBRA continuation coverage, you may qualify for a Special Enrollment Period if your COBRA continuation coverage costs change because your former employer stopped contributing, so you have to pay full cost.

– If you lost your job, but didn’t also lose health coverage, because your former job didn’t offer coverage: You generally won’t qualify for a Special Enrollment Period. By itself, a job loss (or a change in income) doesn’t make you eligible for a Special Enrollment Period to enroll in Marketplace coverage It’s the loss of coverage that does.

 

What should I do if my income has changed due to Covid-19 and I have a subsidized health plan with the Marketplace?

A subsidized health plan is a policy provided by the Marketplace with a discounted premium, since a portion of it is covered by the government. Eligibility is based on whether or not the insured’s household income qualifies. There is certain criteria for those that are single and those with other dependent family members in their household. It is extremely important that the applicant provides true and accurate information regarding their income, as that is what determines how much help they receive.

It’s also imperative that the insured then updates any changes to their income throughout the year of the policy’s coverage. In situations where their income increases, their subsidy may decrease and vice versa. The penalty for not keeping this information up to date is that a portion of the subsidy could be owed back at tax time if they failed to provide the right information earlier in the year.

The only instance in our current situation that does NOT need to be reported as an income change is the œeconomic impact stimulus check that some recently received from the government. That is not required to be considered as true income.

With the current pandemic of Covid-19, there are unfortunately many people that have either had their income decreased, hours cut, or even lost their job altogether. If this happened or happens to you, contact the Marketplace or your agent immediately to update all income information and keep it as accurate as possible, no matter how many times it may change.

 

If you’ve never considered your income an actual asset worth protecting, now is the time!

Most people think their biggest asset or need for protection is their home, since that’s typically the largest financial obligation or equity that they have. It’s often times overseen that your income is extremely worthy of protecting too.

Imagine not getting a paycheck for a month maybe you have an emergency fund or savings to cover all of the bills temporarily. What about six months? Or a year? Things could get tight really quickly and some Americans are unfortunately experiencing this first hand right now with our current pandemic.

Disability insurance comes in to help in the event of injury or illness causing the insured to not be able to work, or even only able to work a reduced number of hours or abilities. Unlike the limited disability coverage that some employers offer, a personal disability insurance policy would follow the insured wherever they go in life and wouldn’t be lost if their job was ever in jeopardy (like health and retirement benefits would be).

The premium of this coverage varies based on income and overall health of the individual. There are typically medical exams but some companies are currently waiving those for up to $10,000/month coverage. And these policies can usually be bound rather rapidly so there aren’t long waiting periods.

It seems like a no-brainer, especially for high income earners, in the work force today. However, we find that many people just aren’t even aware of this type of coverage which is why we use Disability Insurance Awareness month in May of every year as an opportunity to share this information.

There are a lot of moving parts with disability insurance causing things to vary from person to person so please reach out anytime you have questions on what this might look like for you and your situation. Nick Deas can be reached at [email protected] or (352)371-7977.

 

COBRA and Medicare… Oil and vinegar or two peas in a pod?

There are lots of things that are consistent when it comes to Medicare. It runs very smoothly, is a pretty well-oiled machine, and policy holders are overall very pleased. But we also see a lot of uncertainty or overwhelm when trying to fully understand it all. It can be intimidating with the regulations and guidelines to follow that could result in financial penalties if not abided by appropriately. But it doesn’t have to be scary or stressful. That’s what we’re here for.

One of the areas that can seem confusing is when people are approaching age 65 (Medicare eligible) and planning to no longer work. There are options to select COBRA coverage, essentially extending the employer’s group coverage, or enroll in Medicare. Here, we’ll break this down as simply as possible to provide a little guidance.

First, let’s be sure we’re on the same page with what exactly COBRA is. COBRA (Consolidated Omnibus Budget Reconciliation Act) gives employees the right to choose a continuation of the previous employer’s group health plan for a limited time. Usually, that time frame is 18 months but may be extended up to 36 months in some situations. There may be some instances where the coverage changes slightly and the premium is usually a little higher than it was for an active employee prior to retirement, up to 102% of the cost of the plan. Employers with 20 or more full time equivalent employees are generally required to offer COBRA. Spouses can also be eligible for COBRA if:

– The covered employee either voluntarily or involuntarily leaves the job
– The covered employee’s number of hours are decreased making them ineligible for benefits
– The covered employee becomes eligible for Medicare
– Divorce or legal separation from the covered employee
– Death of the covered employee

A commonly used term when entering the Medicare world is creditable coverage. This is referring to coverage outside of Medicare being qualified to take the place of Medicare so that there are no late enrollment penalties if you don’t enroll on time. Creditable also means that the coverage is expected to pay on average as much as the Medicare coverage would. COBRA is NOT considered creditable for Part B of Medicare. Only active employer group coverage for an employee still working would suffice for that. Regarding Part D prescription drug coverage, it is plan specific whether or not it’s creditable.

Real life example: Bill decides to retire right at age 65. He’s been on his employer’s group plan for 25 years. He can elect COBRA to keep that plan but also needs to enroll in Medicare, now that he’s eligible. Medicare would then become his primary. If he didn’t enroll in Medicare and stayed just on COBRA, he could face a substantial gap in coverage. Let’s say he sees a doctor, they bill Medicare A&B for the standard 80% payment but he doesn’t have any Medicare. So then they bill COBRA, who could pay just 20% of the total cost or possible nothing at all, since they’re secondary with him being 65+ now and he technically doesn’t have any primary coverage. Bill could now be stuck with a bill (see what we did there?) for 80-100% being his responsibility to pay out of pocket. So, Bill, lesson learned what he should have done is upon retirement, enroll in Parts A&B as soon as he stopped working and then compared his COBRA coverage and premium to that of a supplement or advantage plan to decide on the best secondary coverage.

A few things to consider if you’re going to stop working or are 65+ with COBRA:

– What are the options for your spouse or family?
– Is your employer’s COBRA coverage creditable for Medicare?
– What is the cost of COBRA vs a Medicare supplement or advantage plan?
– You have 8 months from when you stop working to enroll in Parts A&B without penalty

It may seem like a lot but this is a big transition from working to not, so don’t take it lightly. We can help work through the details and relieve some of the stress. The positive part of it all is that there are options for care and you get to pick the best fit for you.

Additional auto insurance carriers are issuing premium refunds

 

Some people may think insurance companies are only there for them when they need to file a claim. Well, we are pleased to share some good news that shows how much auto insurance carriers across the board really do care.

These are challenging times and your insurance company wants to help! Many drivers are using their vehicles less as they abide by our current stay-at-home orders. Therefore, the following companies will all be issuing a one-time premium refund for personal auto policies during the COVID-19 pandemic. Each company is handling it slightly different so we’ve included the details below. This only applies to motor vehicle policies (not including golf cart, motorcycle, ATV or boat). This is still awaiting final regulatory approval but is headed in the right direction.

The best part about this is that policyholders don’t need to do anything! Refunds will automatically be either credited to their policy account or refunded.

 

*Nationwide: $50 per policy active as of March 31, 2020

*Safeco: 15% of premium as of April 7, 2020 for 2 months

*Auto Owners: 15% of premium for April and May, 2020

*Mercury: 15% of premium for April and May, 2020

*Progressive: 20% of April premium (refunded in May) and 20% of May premium (refunded in June)

*Chubb: 35% of premium for April and May, 2020 upon annual renewal

*Travelers: 15% of premium for April and May, 2020

*MetLife: 15% of premium for April and May, 2020

*AAA: 20% of auto premium for April and May, 2020

Geico: 15% of premium as the policy comes up for renewal between April 8-October 7, 2020. The credit will also apply to any new policies purchased during this period.

Allstate: 15% of premium for April and May, 2020

USAA: 20% of premium as of March 31, 2020 for 2 months

State Farm: 25% of premium for policies in-force between March 20-May 31, 2020

Hartford: 15% of premium for April and May, 2020

Liberty Mutual: 15% of premium as of April 7, 2020 for 2 months

Florida Fam Bureau: 15% of premium for April and May, 2020

 

*The companies with an * are the carriers in which we, at McGriff-Williams, represent and received this data directly from. Information regarding the other companies listed here was collected from their individual websites.