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Using an HRA with HCSO, San Francisco’s Health Care Ordinance

 
san francisco healthcare ordinance

The San Francisco Labor Standards Enforcement allows a health reimbursement account (HRA) to be used to meet the Health Care Security Ordinance (HCSO) requirements of San Francisco. In this article, we will cover using a HRA to pay for HCSO Health Care Expenditures (HCEs).

Survey: California's Health Care Quandary

 
california healthcare

An annual California Employer Health Benefits Survey show that California health care costs are on the rise and the benefits are shrinking. According to the survey, the cost of employer sponsored health plans have risen 153.5% since 2002. This is 5 times faster than the increase of California’s inflation rate.

The survey also indicated that 36% of California firms said they were likely to raise the amount their employees would pay in 2012. 

How does California compare to your state?

Click here to read the full article.

Tax Free Individual Health Insurance in California Using HRAs, POPs and Payroll Reimbursement Arrangements

 
California HRA

HRAs, POPs and tax free individual health insurance are 100% allowed in California if administered the correct way.

A Guide to State Guaranteed Coverage in California

 
california guaranteed health
Note: None of this should be taken as legal or tax advice.
In a recent post, we provided a state-by-state guide to guaranteed issue individual health insurance. While this guide may be helpful as a national overview, it does not provide state-specific information on th policies or application requirements. Since regulation of insurance is a state responsibility, the process for obtaining guaranteed issue health insurance varies from state to state. The purpose of this post is to provide a concise guide to purchasing guaranteed issue individual health insurance in California. If you have questions, please leave a comment.

In California, there are three different ways to obtain guaranteed issue individual health insurance (assuming you do not already qualify for Medicare, Medicaid or another program):
    1. HIPAA Plans (All individual market carriers are required to offer these plans to eligible individuals)
    2. Conversion Policies (An individuals previous group insurance carrier is required offer these plans to eligible individuals)
    3. MRMIP (The state offers these "state risk pool" plans to eligible individuals)
HIPAA Plans

California's HIPAA program is different from many states because the state risk pool (MRMIP) is not the insurer of last resort for HIPAA eligibles. California meets its HIPAA requirement using the "Federal Fall-back" method. Under this HIPAA approach, all individual market carriers in California are required to offer a HIPAA policy to eligible individuals. If you qualify for a HIPAA plan, you cannot be denied insurance because of pre-existing conditions. For applicable rates and policy options, see the Department of Managed Health Care website.

Conversion Policies

In California, an employee may also be eligible to purchase a guaranteed issue individual "conversion" policy if they lose their group health insurance. This is called a conversion plan because the employee converts from the group policy to an individual policy. When an employee's group plan ends, the group carrier must offer eligible employees (employees with 3 months creditable coverage) an individual "conversion" policy. If you qualify for a conversion plan, you cannot be denied insurance because of pre-existing conditions. For applicable rates and policy options, see the Department of Managed Health Care website.

MRMIP

MRMIP (Major Risk Medical Insurance Program) is California's state risk pool for people with health problems who are not able to buy individual health insurance and are not eligible for the above HIPAA or Conversion plans. Californians qualifying for the program participate in the cost of their coverage by paying premiums. The State of California supplements those premiums to cover the cost of care in MRMIP. Because of funding limitations, MRMIP does sometimes have a wait list. For applicable rates and policy options, see the MRMIP website.












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Disclaimer: The information provided on this website is general in nature and does not apply to any specific U.S. state except where noted. Health insurance regulations differ in each state. See a licensed agent for detailed information on your state. Zane Benefits, Inc. does not sell health insurance.