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Covered California Open Enrollment Period Begins November 1, 2016
The next Open Enrollment will run from Tuesday, November 1, 2016 - Tuesday, January 31, 2017.
Need Help to enroll. Please call John Pham 1-714-531-3637
OE3 Income Guidelines (PDF)
Open Enrollment & Health Plan (PDF)

John L. Pham (CA Lic. #0649378)
John Pham Insurance Services
14541 BROOKHURST STREET, SUITE C1
WESTMINSTER, CA 92683
Mobile: 1-714-553-2404
Tel. (714) 531-3637 * Fax (714) 531-3633
Email: johnpham@muabaohiem.com

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Insurance Broker/Agent
35 years of experience
License No. 0649378 Since 1982

14541 Brookhurst Street, Ste. C-1
Westminster, CA 92683
  Phone: (714) 531-3637
  Mobile: (714) 553-2404
  Fax: (714) 531-3633
  Email: johnlpham@yahoo.com
 

 
 
 
John Pham Insurance Services
14541 BROOKHURST STREET, SUITE C1
WESTMINSTER, CA 92683 License #0649378
Tel. (714) 531-3637 * Fax (714) 531-3633
Email: johnpham@muabaohiem.com
 
Grandfathered Health Insurance Plans
 
 
If you are on a grandfathered health plan, you may be able to keep your current plan in 2014…and you'll probably want to do so. If you've been on the same health insurance plan since March 23, 2010 or prior, and there have been no major benefit or contribution changes, your plan is probably "grandfathered".
 
Stay on Your Grandfathered Plan and SAVE BIG in 2014
 
If your plan has grandfathered status, you may want to stay put. Those who stay on grandfathered plans in 2014 are expected to get the most affordable rates. All the extra taxes and fees associated with Healthcare Reform don't apply to grandfathered plans. Also, the grandfathered plans are less regulated. Health insurance carriers are going to have to start accepting people with serious pre-existing conditions on individual and family plans that are not grandfathered, so the rates on these plans are expected to skyrocket. All that to say, if you are on a grandfathered plan, it's probably going to make the most sense for you to stay on your current health insurance plan in 2014.
 
 
Some Carriers Are Dropping All Grandfathered Plans
 
Beware that some carriers will be discontinuing all their grandfathered plans. If you are on a grandfathered plan, see the chart on the right to make sure your carrier will continue offering grandfathered plans. If your health insurance carrier is going to discontinue offering grandfathered plans, then on January 1, 2014 you will be switched over to a medical plan that is compatible with the Healthcare Reform minimum essential benefits requirements. You can expect to be moved to a more expensive plan with better coverage.
 
 
Not Grandfathered = You're Automatically Going to Be Changing Plans
 
If your health insurance plan is non-grandfathered, you will automatically be switched to a plan that complies with the Affordable Care Act mandate when your policy renews in 2014. Generally, you'll be switched to a plan that is most comparable to the one you are leaving. Expect better benefits at higher costs.
 
Options for Individuals and Families
 
Unless you are below 400% of the federal poverty level, individuals and families who have grandfathered plans will not want to switch. Rates on private health insurance are expected to rise dramatically in 2014 as tens of thousands of people with pre-existing health conditions enter the market. The only way to shield yourself from these premium hikes is to stay on a grandfathered plan, switch to California group health insurance coverage or go uninsured. You must have an eligible small business or be employed by one to get on group coverage. If you go without health insurance coverage in 2014, you will face a penalty. If you are below 400% of the federal poverty level, you may qualify for a government subsidy, so it may make sense to switch to an exchange plan through Covered California in order to be eligible for the government money.
 
Options for Small Businesses
 
Whether you are grandfathered or not, you'll want to get quotes and check on your options starting in October 2013. Small businesses will have four main options:
 
  Stay on your grandfathered plan (if applicable)
  Get standard coverage
  Get coverage through The SHOP (The CA Group Exchange)
  Drop group coverage and get on individual plans
 
 
If your small business is on a grandfathered plan, it will probably be most affordable to stay put. However, due to the fact that Rate Adjustment Factors (RAF)* go away in 2014, groups with high utilization may find it advantageous to switch to standard or SHOP coverage even though they are currently on a grandfathered plan. All the plans in The SHOP will be offered outside the exchange at the same rates. However, those enrolled in The SHOP will be able to offer multiple carriers to their employees while only getting one bill, and some small businesses who enroll through the exchange will qualify for government tax subsidies in 2014.
 
Some small businesses are entertaining the more radical idea of dropping group coverage and having their employees get on individual plans. For businesses of 100 or less employees there is no mandate to offer health coverage and there is no penalty for not insuring your employees. Also, employees with salaries less than 400% of the federal poverty level will qualify for tax subsidies from the federal government. Some of these employers plan to bump up wages a bit to make up for not offering healthcare. After crunching the numbers, in some cases, employers will find that the business and the employees both save money by dropping group coverage and having their employees get individual coverage.
 
Note: Be sure to double check with your insurance agent to see if the plan you are currently enrolled under is in grandfathered status.
 
* Rate Adjustment Factors (RAF): An RAF is a modifier that insurers apply against group health insurance policies at renewal. It is based on the frequency and severity of the medical services received by the group members in the last year. It is also known as "experience rating". If your employees and their covered dependents over-utilized the medical plan, the RAF will increase the premium. Conversely, if your group rarely used your benefits, the RAF would lower the premium. Groups with low RAF's will find it more advantageous to stay on their grandfathered plans.
 
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