Affordable Care Act & Obamacare

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Affordable Care Act & Obamacare

Forms 1095-A, 1095-B, and 1095-C are used to report health insurance coverage to individuals and the IRS. Form 1095-A is necessary to complete Form 8962. The Affordable Care Act resulted in the creation of some new tax forms, including Form 1095-A, Form 1095-B, and Form 1095-C. These forms are sent to individuals and the Internal Revenue Service (IRS) early each year, to report details about the

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What Is a Medical Loss Ratio?

Medical loss ratio measures the percentage of a health plan's revenue that is spent on medical care and quality improvements, as opposed to overhead. Medical loss ratio (MLR) refers to the percentage of a health plan's revenue that's used for medical care and quality improvements, as opposed to administrative costs. The Affordable Care Act (ACA) imposed minimum MLR requirements for

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What Is the ACA’s Employer Mandate?

The ACA employer mandate requires large businesses to offer comprehensive, affordable coverage to full-time employees or face potential penalties. The Affordable Care Act’s employer mandate requires large businesses in the United States to offer affordable, comprehensive health coverage to full-time employees. Businesses that don’t comply face financial penalties if any of their full-time

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Enrolling in Individual Health Insurance With a Qualifying Event

Outside of open enrollment, you'll need a qualifying event in order to purchase a health insurance policy. Open enrollment in the individual health insurance market runs from November 1 through December 15 in nearly every state (several of the state-run exchanges have different deadlines).Outside of open enrollment, plan changes and new enrollments can

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Health Insurance Mandate

Learn about one of the more controversial parts of the health reform legislation: the issue of a health insurance mandate. One of the more controversial parts of the Affordable Care Act is the issue of a health insurance mandate – the requirement that all Americans must have healthcare coverage.The vast majority of people in the U.S. have health insurance through work

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What Is a Health Insurance Navigator?

Navigators provide outreach, enrollment assistance, and post-enrollment assistance to people who shop in the ACA-created health insurance exchanges. Health insurance Navigators help people who need assistance enrolling in health coverage through the Affordable Care Act (ACA)'s health insurance exchanges/marketplaces. They can also provide assistance with various issues that might arise after a

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Which States Run Their Own Health Insurance Exchanges?

Fourteen states and the District of Columbia run their own health insurance exchanges in 2021, and more are planning to join them in 2022. Under the Affordable Care Act, each state must have a health insurance exchange. The exchange, also known as the marketplace, is a platform that residents can use to shop for health insurance.The exchange is used by people who need to purchase their

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Health Insurance Rule Changes for 2022

HHS finalized health insurance rule changes for 2022, including a longer open enrollment period and year-round enrollment for low-income applicants. Each year, the Department of Health and Human Services (HHS) and Department of the Treasury finalize various rules and regulations related to the implementation of the Affordable Care Act (ACA) and the health insurance marketplaces/exchanges.The

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What Is Enhanced Direct Enrollment?

Enhanced direct enrollment allows consumers to enroll in health plans through the federally run exchange, but using a third-party website. Enhanced direct enrollment is a program that the federal government debuted in 2019. It allows approved third-party websites to help consumers enroll in plans through the federally run health insurance exchange using the third-party websites instead

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After A Near-Death Experience, Here's How I Recovered From Mind-Body Trauma

Recovery isn't just for physical injuries.

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Can You Drink Alcohol While Taking Melatonin? Experts Weigh In

Here's why you should never mix them.

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