All posts by Debbie Sears

How to Determine Disability Insurance Coverage

How much insurance is enough without being uninsured, under-insured or over-insured. These are important targets to try to come close to when buying insurance for anything but particularly when we’re talking this month about disability income protection.

This link will take you to Principal’s site and give you a quick and easy calculator, so you can get an idea of what your needs may look like. Once we’ve established your needs, it would be easy for me to get quotes for you and we look and see what the cost is. I think you would be pleasantly surprised. Give me a call anytime.

New Identifiers for Medicare Recipients

April 1, 2018 – December 31, 2019 is the transition period for the Centers of Medicare and Medicaid Services (CMS) to remove social security numbers from all Medicare ID cards by April 2019. I’m putting this link to CMS.gov out here for you to educate yourself on this new change.

If you receive cards in the mail and you’re in question as to whether this is legitimate or not, please read through this and you will notice on Page 2 of this 8-page document, you’re going to see what these new cards should look like.

There is a new Medicare card and there is also one that shows Railroad retirement board Medicare card. Your doctors and hospitals will want these to update your records in their systems so that your claims filing continues in a seamless transition from old to new. This is for your identity protection.

If you have any questions, please give me a call, I’ll be happy to help.

National Health Care Decisions Week

Decision awareness is huge. The only way you can make decisions is if you’re informed. How do you do that? How does your insurance work with the choices you feel you want to make? Be pro-active to make sure some of the things you’re considering are covered. Get estimates if it’s a scheduled surgery or procedure, so the expectations of your out of pocket have been defined so you can budget accordingly. Have an advocate and proceed with caution.

The other side of the story. Patients have responsibilities also. If you have no intentions or if good intentions have gone by the wayside of following the agreed upon protocol, your results will be compromised. Your team includes the medical professionals that you choose to work with and for you.

Extra Care Designed Just For You!

All of the Medicare eligible clients should know that there is new and exciting things as an option for you to consider. Wellmark has new dental plans and vision/hearing plans from Avesis and Amplifon that were designed specifically for Medicare supplement members, so you can get what really matters. I’m attaching Wellmark’s brochure, one showing the dental options and the other showing the vision and hearing for your reference. You will note, they both include the rates. And I highly encourage people to take extra care of your dental, vision and hearing rather than to overlook that piece.

Updates to the 2018 Amounts for Health Savings Accounts

As you prepare your income taxes and if you have an HSA, please note the 2018 updated changes so that you can maximize your contributions and deductions. I have attached verbiage from a resource that we use for your reference. I encourage you to work closely with your accounting professionals on anything to do with tax, but the overlap with the insurance industry creates a grey area and I feel, as a service to you, I want to provide you with as much information as I can.

All Markets: Update to 2018 indexed amounts for health savings accounts

Beginning in 2018, the Tax Cuts and Jobs Act (H.R. 1) -changed the indexing for certain dollar thresholds in the Internal Revenue Code including HSA contribution limits. The IRS released Revenue Procedure 2018–18 on March 5, 2018, which lowers the 2018 maximum HSA contribution for individuals with family HDHP coverage by $50, from $6,900 to $6,850. The IRS did not change the 2018 contribution limit for individuals with individual HDHP coverage that amount remains at $3,450. The IRS did not release revised health FSA contribution limits, so that amount remains at $2,650.

Employees who have elected to contribute the full $6,900 amount will need to decrease their elections to $6,850. Not reducing the election amount has the potential to subject employees and employers to penalties. To avoid penalties, any employees who already contributed the maximum $6,900 prior to March 5th will need to withdraw their excess contributions (including interest on the excess contributions) as taxable income.

Clients with a high deductible health plan (HDHP) and impacted by the HSA rule changes can make administration easier by working with our partner Wage Works. Wage Works offers a wide variety to products to support both the employer as well as the employee while aligning for easy administration with Wellmark’s data. The following link will provide information on the Wage Works program.

Wellmark’s Doctor on Demand

Doctor on demand is a coined phrase that has created another niche market for our industry. Please do not spend premium dollars on a monthly basis outside of your Wellmark plan for this benefit. If you log into Wellmark.com, and follow the prompts, you can set up your account and access all the tools available to you. This just happens to be one. Doctor on demand is very handy for any of us that are on the go that have minor things happen to us such as what’s listed in the image below. You can get help 24 hours a day/7 days a week/365 days a year. Check it out!

Announcement: Short Term, Limited-Duration Insurance Proposed Rule

If you have short term insurance or the need to such, please read below – there have been some changes –
The Departments of Health & Human Services (HHS), Labor, and Treasury have issued a proposed rule that would change the maximum duration of short-term, limited-duration health insurance coverage.  Short-term, limited-duration coverage is designed to provide temporary coverage for individuals transitioning between health care policies, such as an individual who is between jobs or a student taking a semester off from school.  The proposed definition would change the maximum duration of short-term, limited-duration insurance to less than 12 months, as opposed to the current maximum duration of less than 3 months.   Additionally, the proposed rule would revise the notice that issuers are required to provide to a consumer to point out the limited nature of the benefits in the policy. For policies with a coverage start date before January 1, 2019, the notices would continue to state that the insurance is not minimum essential coverage (MEC).

Wellmark commits to re-entering the ACA market in Iowa in 2019

Wellmark commits to re-entering the ACA market in Iowa in 2019

Below is a News Alert released by Wellmark, 02/08/2018, regarding their plans for 2019.
_____________________________________________________________________
Feb. 8, 2017
Wellmark Blue Cross and Blue Shield of Iowa has an 80-year history of providing individual and family health insurance plans for Iowans. Last year, we worked closely with the State of Iowa to pursue an innovative attempt to address the challenges of the Affordable Care Act (ACA) segment of the individual market through the Iowa Stopgap Measure. Although federal law was not flexible enough to provide the relief needed to implement the Measure, we remain committed to finding a solution.

Therefore, today we are announcing several options to provide individual and family coverage in Iowa. Our members, our agents, and most recently Governor Kim Reynolds and Iowa Insurance Commissioner Doug Ommen, have asked Wellmark to offer individual and family coverage in this market.

To that end, we will offer fully ACA-compliant products on the public exchange for 2019, assuming there aren’t any significant changes to the Affordable Care Act. We will also explore offering additional options outside of the ACA for Iowans, if state and federal rules allow us to do so.

While there is no singular solution to stabilize the entire individual market in 2019, Wellmark will seek to offer options that provide more choice and affordability to Iowans than they have today. Wellmark believes the individual market can be functional once again. We pledge to continue working with state and federal officials, business partners, and other stakeholders to find a solution for all Iowans in the individual and family insurance market.

Sears Insurance will continue to monitor any forthcoming announcements and pass onto you as soon as we can, stay tuned!

Medicare Market: End of Annual Enrollment Period (AEP) application tips (PDP only)

The Medicare Advantage Disenrollment Period (MADP) begins Jan. 1, 2018, and runs through Feb. 14, 2018. During this time, Medicare Advantage enrollees may choose to disenroll from a Medicare Advantage plan. If they choose to disenroll from a Medicare Advantage plan, they will return to Original Medicare for health coverage and have an opportunity to enroll into a prescription drug plan for Part D coverage.

This special election period permits one enrollment and ends when an individual enrolls in a prescription drug plan. Enrollment requests made in January have a Feb. 1 effective date and enrollment requests made in February have a March 1 effective date. No other changes are permitted during the MADP.

Knowing Your Options Is More Important Now Than In Years Past

We are entering year eight of the Affordable Care Act and we, as the State of Iowa, are faced with fewer choices and higher premiums than ever before.
Under 65 Years Old
If you are under 65 years old and have an individual policy, you could be in two positions. You could have a pre-ACA
plan or you could have a plan that was placed after the law was enacted in 2010. If you have an individual pre-ACA
plan, I encourage you to keep your plan in place. If this is your situation, your policy was written with underwriting
considerations and was priced accurately. This is not the case currently. If your policy is an ACA policy written January 2014 going forward, you received a letter months ago informing you that your coverage was ending December 31st. You still have choices. They may be limited, as Iowa only has one company offering individual plans for 2018. Business owners can certainly attract and retain quality employees by offering benefit packages for health, dental, disability and life insurance. You may own a business and have no other employees and meet the eligibility guidelines as a small group and remove yourself from the individual market completely. We are here to help you, please give us a call.
Over 65 Years Old
If you are 65 and older you undoubtedly have Medicare Part A (hospital) coverage. You may still be on an
employer group plan either as an employee or the spouse of an employee. If this is the case and you also have an
HSA (health savings account), don’t continue to make contributions. The IRS doesn’t recognize the difference
between Part A or Part B, just that you are on Medicare, making you ineligible to contribute and penalties could
apply. If your plan administrator didn’t mention this in the employee meetings, please call me. Service and education
has never been more needed than now.
There are still several choices available. I want to provide education so that you know and understand what is in
your best interest. This is essential for your health care options and your budget.
We have been serving three and four generations of clients over our 40+ years as an independent agency. I owe my
success to my clients, as we are 100% referral based. We are invested in your best interest. We proudly serve our
Veterans, seniors, individuals, small and large business owners. I thank everyone for the professional confidence
that you continue to place in me and my agency.
Call us or email us, we will help you anyway we can!
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