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I just spoke to UHC. The requirement limiting the contract term to 90 days likely won't become effective until 4/1. UHC is currently writing for 360 days. They are using the same network as their broadest national network which is used for groups.
I have to dig out the contract details but am thinking drop my BC direct policy. Enroll somewhere through the exchange. Ride the ACA grace period for 5 days then start the STM. Writing 2 STMs is a possibility that comes to mind. The 1st could be for whatever the shortest period is and run to day 6 of 2017. The 2nd would run to the end of the year when theoretically an ACA compliant plan would be available.
The main issue with this plan is at the end of the day, there are holes in coverage. I note that there is no pre-ex coverage. RX is limited (working from memory ~$3,000). The deductible is per cause, per term and could be expensive.
The other options are already expensive and are more expensive when sick.
My UHC STM Premium is ~$3,300 for what amounts to a $10,000 X number members OOP vs $20,000 in premium for a $6,400 OOP x2 family. I may add a supp acc rider for $5k to cover me if I fall off my bike.
Does anyone have a link to accurately calculating the family penalty? I'm going to try finding a sample cert.
I would think if you make enough to be worrying about a family penalty then you probably make more than $200,000 a year and should just buy the ACA compliant plan.
Thanks for stating your opinion. However, there are friends and clients who have slightly different situations and those that make $200,000 aren't thrilled about sucking down a $20,000 premium for a plan that they will only see claims paid of $300 under the wellness benefit - especially since premiums will likely go up next year.
The issue of knowing exactly how the penalty works is still there. It's easy to know concepts and approximations but knowing the specifics or not is what makes an agent's information worth something. Never buy or sell insurance without understanding the situation.
I apologize I didn't mean to offend you, my point was only the premiums are so high for ACA plans allows about 85,% of the population to. Be exempt from the penalty, look up 8.05% ACA affordability exemption