Stephanie Frisch

Stephanie Frisch

Stephanie Frisch is the owner of Insurance 101 and is an independent insurance broker dedicated to helping others make “educated decisions” about their insurance choices when it comes to Medicare, Long-Term Care Planning, The Health Insurance Marketplace-Covered California and Life Insurance. For answers to your questions, or an in-home, no-fee consultation, call (949) 351-2443.

Are you one of the thousands of people in Orange County that bought an insurance plan from Assurant Health?

They were a great option for those not utilizing Covered California and wanting a broad network. Notices were sent out in June that Assurant will be leaving the Health Insurance Marketplace in 2016 due to losses of 40-50 million in the first quarter of 2015. So that leaves many not knowing where to turn to make sure they obtain new coverage that allows them keep their existing doctors and hospitals, as well as having their medications in formulary and a comparable plan. This is what I specialize in and I’m here to help. Open enrollment is Nov. 1-Jan. 31st this year. December 15th is the cut-off for January 1st coverage.

Here are a few things to keep in mind:

  1. 1. Don’t be concerned about pre-existing conditions, the Affordable Care Act does not allow underwriting, the insurance companies must accept you “warts and all”.
  2. Doctors will be doing some changes this Fall. If you want to keep your current doctors and favorite hospital make sure the updated provider networks are vetted this Fall.
  3. Open enrollment is the time to change plans if the plan that you had in 2015 doesn’t meet your needs for 2016. Once 1/31/2016 is behind us, you will be locked into your plan for the year.

In September the new plans, prices and players will be announced and the doctor’s networks will be in place.  I will be scheduling appointments either in person or by phone for those that contact me to determine what company it is best to place you with and we’ll revisit your plan selection at that time.

I’m predicting a busy September calendar, so contact me soon to schedule your appointment.

If you don’t have health insurance in 2016, you’ll pay the higher of these two amounts: 2.5% of your yearly household income (Only the amount of income above the tax filing threshold, about $10,150 for an individual in 2014, is used to calculate the penalty.)

The maximum penalty is the national average premium for a Bronze plan. Or, you’ll pay $695 per person ($347.50 per child under 18). The maximum penalty per family using this method is $2,085. Bottom line is it’s a lot of money and your risking even greater financial loss, and possibly ruin by going uninsured. I know it can seem daunting, but for someone into their third year handling Covered California it’s really not. That’s why getting FREE help from me makes so much more sense than just putting your head in the sand and hoping it goes away, because it’s looking like the current process is here to stay.

Generally someone only applies for insurance through Covered California if their income is close to the guidelines below. You have to estimate your income for the upcoming year, so if you aren’t sure what it will be exactly, applying through Covered California will ensure that you DO get the Federal subsidy money that you deserve at tax filing time if you estimated making more money than you actually did.

If your income is under $47K as an individual, $63K as a married couple or $97K as a family of four (for example, not limited to) you have options with Covered California. You have until 1/31/16 to enroll in a plan for 2016 to avoid the penalty for 2016. If your income is higher, then we apply directly to the insurance plans for coverage. For coverage to start January 1st you need to apply by 12/15/15. If you’d like assistance understanding your choices, call to schedule a phone consultation with me, once again, my services are free.