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Section 125 Considerations for Mid-Year Enrollments

Looking for an easy digestible explanation what considerations to make for Mid-Year Enrollments under a Section 125 plan? Check out this great video from colleague, Chelsea Whalley of J Donovan Financial.

 

Special Mid-Year Enrollment Window

1. Get Approval from Health Insurer in writing. If Self-funded, approval comes from stop-loss carrier.
2. Decide if these special deductions will be pre-tax or post-tax. As of right now, the IRS has issued no guidance for pre-tax elections due to COVID-19.

Section 125 Mid Year Election Change Events:
1. Change in employment status if the change impacts eligibility for health plan
2. A significant change in health plan coverage
3. HIPAA Special Enrollment (marriage, birth, etc)

To avoid any unintended liability, employers should check with your CPA and/or attorney to decide what is best for your business.



4 Ways to Keep Health Coverage

Here are 4 quick ways to keep your health insurance coverage by our Combs & Company friend, Chelsea Whalley of J Donovan Financial.

This is for employees who have lost coverage through an Employer Sponsored Plan.

1) COBRA- Contact your Benefits Administrator. Remember, there is no employer contribution so this is an expensive option.

2) Spouse Plan- This Qualifying Life Event (loss of coverage) creates a window of opportunity to join your spouse’s health plan. Contact your spouse’s Benefits Administrator for pricing.

3) Medicaid- A severe loss of income may qualify you for Medicaid at http://www.medicaid.gov

4) Healthcare.gov – The QLE allows you 60 days to enroll in an individual plan on the marketplace.



Insurance 101: What is a Formulary Drug

pexels-photo-259027.jpegCheck our our quick video to understand what you need to know about Formulary Drugs!

For more Insurance 101, check our our Combs & Co YouTube Channel!



Insurance 101: What is a Flexible Spending Account

Check our our quick video about Flexible Spending Accounts (FSA)!

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What are Exclusive Provider Organizations (EPOs)?

Check our our quick video about Exclusive Provider Organizations (EPOs)!

For more Insurance 101, check our our Combs & Co YouTube Channel!



What are Exclusions?

Check our our quick video about what Exclusions are in an insurance policy!

For more Insurance 101, check our our Combs & Co YouTube Channel!

 



What are Essential Health Benefits?

When the ACA (Affordable Care Act) became law, we were introduced to many new terms.  Check our our quick video about Essential Health Benefits!

For more Insurance 101, check our our Combs & Co YouTube Channel!



What is an Evidence of Insurability?

Check our our quick video about Evidence of Insurability!

For more Insurance 101, check our our Combs & Co YouTube Channel!



Insurance 101: Employer Responsibility

Check our our quick video about Employer Responsibility!

For more Insurance 101, check our our Combs & Co YouTube Channel!



Insurance 101: What is an Enrollment?

Check our our quick video on what is an Enrollment is!

For more Insurance 101, check our our Combs & Co YouTube Channel!