Health Care: Lost Coverage, Pre-Existing Conditions and Exclusions

By Jason Freeman, J. Freeman and Associates

Lost Coverage
It’s human nature. Negative news tends to get our attention a whole lot quicker than warm, fuzzy, feel-good news. And, there’s a lot of negative news out there about Obamacare.

Not a day goes by that we don’t get a call that starts off with, “I’m losing my coverage,” or “I heard my friend is being dropped. Am I going to be dropped, too?” Here are a few reasons why you may be dropped from your plan:

  • The insurance carrier is exiting the marketplace – Some insurance carriers have plans that are not making them any money, or that do not provide coverage that meets the new federal mandate.
  • Your employer is dropping the group coverage – Many employers can’t afford to keep up with the increase in costs. Small businesses with less than 50 employees are not required to provide health insurance, and even large employer groups may find it less expensive to pay the fine than to provide medical coverage.
  • Your spouse’s employer is no longer offering family coverage – In an attempt to maintain corporate earnings, some employers may choose to pay for coverage for the employee only. Even if they do allow for family members on the policy, the portion that you would have to pay may be so high, that you would be better off finding a policy elsewhere.

Pre-Existing Conditions
One reason your coverage will never be dropped, is for a pre-existing condition. A key component of the new health care law is that insurance companies can no longer charge more or deny coverage to those with pre-existing conditions.

As of January 1, 2014, insurers are also not allowed to limit the dollar amount of health benefits—either annually or over a lifetime. And, you can not be dropped or denied coverage when you get sick.

Exclusions
The ACA’s “individual mandate” requires all Americans to have some form of health insurance, or pay a fine. But, as with everything in life, there will always be some exceptions to the rule. Those exempt from penalties for noncompliance, include:

  • Prisoners
  • Indian tribal members (Native American descent)
  • Members of certain religious groups or health care sharing ministries (HCSM)
  • Anyone uninsured for less than three months per year (e.g., during a job transition)
  • Those with incomes too low to require a federal tax return
  • Individuals that have suffered a hardship (available on a case-by-case basis)

There is still much to learn as we navigate this ever-changing landscape of health care reform. But it is our mission to educate our clients, answer questions and assist in the transition.

HBA of Greenville Announces New Education Forum Series

HBA of Greenville Announces New Education Forum Series

Your HBA of Greenville announces a new service for members: The Education Forum Series.

We have partnered with GBS Building Supply and Progress Lighting to offer a series of education seminars during the lunch hour this year.  The Education Forum Series will be held on the first Monday of each month from 11:30 a.m. until 1 p.m. at Hubbell Lighting’s Headquarters in Greenville.  GBS Building Supply and Gallivan, White & Boyd also are sponsoring the series and supporting the program with topics and speakers.

The first edition of the Education Forum Series is on the topic of Succession Planning and is being led by Jason Freeman of J. Freeman and Associates.  Details are below:

  • Topic: Succession Planning
  • Speaker: J. Freeman and Associates
  • Wednesday, March 7, 11:30 a.m.
  • Hubbell Lighting, 701 Millennium Blvd., Greenville
Sponsors: GBS Building Supply and Progress Lighting
Click here to register for this Education Forum.  There is no cost to members for participating in this event.
HBA of Greenville Succession Planning Education Forum

HBA of Greenville Succession Planning Education Forum

Succession Planning Education Forum
Who: Your HBA of Greenville is proud to present Jason Freeman of J. Freeman & Associates.  Jason will speak on Succession Planning for your business
What: This program presents an educational class specific to business owners on the topic of Succession Planning.  The seminar will help further the success of your business in the years after you decide to turn it over to a successor.
When: February 14th, 2012 from 8:30 – 9:30 a.m.
Where: Hubbell Lighting
701 Millennium Blvd
Greenville, SC. 29607
How: To register please click here or call (864) 254-0133

THANK YOU TO OUR SPONSORS

Powell joins J. Freeman and Associates

Powell joins J. Freeman and Associates

J.Freeman & Associates Inc., an independent insurance and financial advisory services company, recently contracted Andrea Powell as an account executive.

Powell has over 20 years experience in publishing, sales, marketing, promotions, branding, product development, strategic planning, negotiating and sales staff management.

Prior to working with J.Freeman & Associates, she founded Secrets of the South Media Inc. in Savannah, Ga., a full-service graphic design firm and publishing company that developed several award-winning magazines and marketing campaigns.

She also served as vice president of member relations for the Greenville Chamber of Commerce.

HBA President’s Holiday Reception is December 14

HBA President’s Holiday Reception is December 14

Your HBA of Greenville will host its annual President’s Holiday Reception Tuesday, December 14.

What: President’s Holiday Reception
When: Tuesday, December 14, 5:30 p.m.
Where: Dillard-Jones/Southern Living House, Claremont

Each year our association members gather to enjoy the season together. This event is a remake of the old Year-End Party. The event is no charge to members thanks to our generous sponsors. Members will be able to socialize and network together, enjoy heavy hors d’oeuvres, beverages (adult and otherwise), and celebrate the season together.

Don’t miss this opportunity to tour the Dillard-Jones/Southern Living House, decorated for the holiday season. And don’t miss this opportunity to thank outgoing President Tom Dillard, CGP, and the rest of the 2010 Board of Directors, for their service to the Home Builders Association of Greenville.

To register, please click on this link.

Please also thank our sponsors: