How much does Medicare cost?

The cost of Medicare can seem confusing but it’s really quite simple. Because it is very case-by-case for each individual’s situation, this is a very brief guide to reference Medicare premiums in 2021. Part A, which is for hospital coverage, has $0 premium regardless of who is qualifying or what their income and employment status is. Part B, however, is determined by income level and how taxes are filed. This chart shows the different brackets for each and the current premiums for 2021.

File Individual Tax Return File Joint Tax Return File Married & Separate Returns 2021 Monthly Premium
$88k or less $176k or less $88k or less $148.50
$88k – $111k $176k – $222k N/A $207.90
$111k – $138k $222k – $276k N/A $297.00
$138k – $165k $276k – $330k N/A $386.10
$165k – $500k $330k – $750k $88k – $412k $475.20
$500k or above $750k or above $412k or above $504.90

 

This chart is specific to Florida Blue’s current Advantage Plan and Plan G supplement but may also be helpful to show the estimated cost of both routes you can go if purchasing additional coverage to Parts A and B.

ADVANTAGE PLAN SUPPLEMENT
Medical Coverage Medical Coverage
Monthly Premium: $47.90 Monthly Premium: $180.60 (Plan G at age 65)
Part A: $0 Part A: $0
Part B: contingent on income (see above) Part B: contingent on income (see above)
Prescription Drug Coverage Standalone Part D
Monthly Premium: included in plan Monthly Premium: $73.70
Deductible: $250 Deductible: $405

 

MONTHLY TOTAL

ADVANTAGE PLAN

$47.90 (+ Part B)

SUPPLEMENT

$254.30 (+ Part B)

Includes copays & coinsurance.

Out of pocket max: $6,500 in network/$10,000 out of network

Part B deductible ($203) must be met.

No copays or coinsurance.

 

Should employees be driving their personal vehicles to the job site?

With a (thankfully) booming construction industry these days and growth even happening outside of our home towns, travel and transportation is more of a focus than ever. Safety should always be the first concern but liability is a close second.

Some business owners may question what the right thing to do is when it comes to employees getting to and from job sites daily. Should they drive their own personal vehicle? Or should you provide a company vehicle? What do either of those scenarios look like from a coverage standpoint to be sure you and your company are protected? Here are a few tips that will hopefully help clarify these uncertainties.

Quite simply, it is not recommended that employees drive their own personal vehicles for work purposes. Work use is typically defined by going to or from a job, transporting tools or equipment, and/or other employees riding along as passengers. An accident occurring in this type of situation could be denied coverage by the vehicle owner’s personal insurance policy as well as the business policy since that vehicle is not listed there and the driver is most likely not listed either.

If you decide to provide a company vehicle to an employee, there are a few steps you can take (in addition to adding them to your policy immediately) to avoid what we call “negligent entrustment.”

  • On the written job application, include a place to list all driving violations or accidents for the past 5 years. You should also include a section authorizing the employer to obtain and review motor vehicle records (MVR) on a regular basis.
  • Before allowing anyone to drive a vehicle for company purposes, have the individual provide proof of a valid driver’s license.
  • If the individual has lived in other states during the previous 5 years, obtain drivers’ license information for those states.
  • Require all drivers to report any violations they receive or accidents they are involved in as soon as possible. This includes incidents involving personal vehicles.
  • Check all drivers’MVRs at least once a year.

Other important factors include:
– Vehicle Condition and Maintenance
– Driver Training
– Policy of Restricting Personal Use of company vehicles (including those vehicles that go home with employees after work hours)

Evaluating the current status of your company’s fleet safety and risk management program is extremely important. And a step further, making the effort to improve those policies where needed on a regular basis will help limit your company’s exposure to a negligent entrustment judgment, as well as help control your future insurance costs.

Can I have my roof re-shingled or do I have to do a complete roof replacement?

Roofs on homes in Florida are a hot topic of conversation these days. And with the real estate market the way it is now, they can make or break a deal from happening.

Insurance companies in Florida are more strict than ever on the age, condition and life left on a roof. Some may be open to a contractual agreement that the roof will be repaired or replaced within a certain time frame after closing, in an effort to not keep the sale from happening, but most want it done before hand.

There lies some confusion as to whether you can have your roof re-shingled or would need to fully replace the roof, which is typically much more expensive.

In most cases, just re-shingling the roof is not acceptable. The insurance company is looking for the shingles to be replaced down to the plywood rather than just on the surface.

The challenge with re-shingling is:

  1. If you just place new shingles on top of the old shingles, there is not an effective way to identify any issues with the roof decking (the plywood).
  2. If damage occurs in the future, it creates more cost for the insurance company because they are taking off two layers of shingles rather than just one.

Roofing contractors have confirmed that re-shingling may save money or be a temporary band aid for any leaks or issues but long term, it will end up costing more. There are also theories that a roof with two layers such as a re-shingle can hold in more heat, which speeds up deterioration, especially in Florida.

Why home insurance is such a hot topic with house fires

House fires can be one of the scariest and most dangerous events to experience but they serve as unfortunate reminders to homeowners about the importance of adequate home insurance. Although Florida homeowners may be more aware of summer fires that can be brought about during hot months with little rain, winter weather is cause for concern as well. The dry, winter air, as well as the combination of heating devices, holiday decorations and fire places can be a recipe for disaster. And of course there are other things that can start a house fire such as candles, electrical panels, heat lamps, overused or shorting outlets, chargers of all kinds, etc.

Home insurance provides protection for your house and the belongings inside of it in the event of an accidental fire. Your Dwelling coverage is supposed to be at what it would cost to rebuild the entire home (and keep in mind that often times a fire can end in a total loss, even if the flames are contained at some point, due to smoke or extinguisher damage). Then the Personal Property coverage would kick in for all of the furniture, contents, clothing, etc inside. These are two very important coverage limits you want to keep an eye on so they remain sufficient.

Here are a few house fire safety tips:

Have a plan: Homeowners and their families should have an escape plan in the event a fire occurs while individuals are present.

Check your smoke detectors: If you forgot to check your smoke detectors when you changed your clocks, do so now. No really – get up and check your smoke detectors because if you don’t now, you may not later. It’s a good reminder and rule of thumb to do this twice a year when you adjust your clocks for daylight savings time.

Have your fireplace properly inspected before the start of the winter season and properly clean and put out fires after each use. Never leave burning or hot coals unattended.

Use electrical heating devices with caution. In addition to heating your home safely, if it is the holiday season, be sure to unplug all electrical decor and lights when going to bed or the home is unattended. Double check that your chargers (cell phone, computer, golf cart, gaming systems, etc) are not getting too hot.

Never leave lit candles unattended. Unfortunately, people think candles are safe and will just burn down to the wick and go out when the wax is gone. Or that they’re safe being in a glass jar. This is still a dangerous fire hazard.

Take photos or video of your belongings once a year and store with other important documents or sentimental items in a fireproof safe. This will be hugely helpful in the event of a loss.

 

New Executive Order for Health Insurance Special Enrollment Period

On January 28, 2021, President Biden signed an Executive Order directing the Department of Health and Human Services (HHS) to open healthcare.gov for a three month special enrollment period (SEP).

Usually, the Open Enrollment Period for new health insurance or changes to a current plan is from November 15-December 15 of every year for the following year’s coverage. In the past, if you needed new coverage or changes made outside of that time frame, you would have to qualify by having a life event such as marriage, divorce, birth, adoption, loss of employer-provided coverage, etc.

This Period for 2021 is from February 15-May 15 to provide an additional opportunity for uninsured and underinsured Americans to enroll in coverage in the face of the COVID-19 pandemic. Coverage would be available as soon as the 1st of the following month. This applies to both subsidized plans (with premium assistance based on income qualifications) in the Marketplace and non-subsidized plans that are considered Off-Marketplace.

According to Florida Blue, here are a few tips if you are in the market for new health insurance or to make changes to what you currently have:

  • Starting February 15, consumers seeking to take advantage of this SEP can find out if they are eligible by visiting healthcare.gov or speak with an agent. The application process and plan selection can either be done online or through an agent as well.
  • Consumers who are eligible and enroll under this SEP will be able to select a plan with coverage that starts prospectively the first of the month after plan selection. Consumers will have 30 days after they submit their application to choose a plan.
  • Current enrollees will be able to change to any available plan in their area without restriction to the same level of coverage as their current plan. In order to use this SEP, current enrollees will need to go through their application and make any changes if needed to their current information and submit their application in order to receive an updated eligibility result that provides the SEP before continuing on to enrollment.
  • Consumers won’t need to provide any documentation of a qualifying event (e.g., loss of a job or birth of a child), which is typically required for SEP eligibility.

HHS has published a fact sheet here: https://www.hhs.gov/about/news/2021/01/28/hhs-announces-marketplace-special-enrollment-period-for-covid-19-public-health-emergency.html providing additional details on implementing the healthcare.gov SEP as well as an CMS fact sheet here: https://www.cms.gov/newsroom/fact-sheets/2021-special-enrollment-period-response-covid-19-emergency with more technical details.