Individual Medical Insurance
Open Enrollment
November 1 - December 15

This has been an incredible year. Enduring the COVID-19 pandemic, protests, riots, & economic instability. Good news, for many, you will see a decrease in your medical insurance premiums. In addition, they are introducing Cascade Plans with standardized benefits and the Public Option (Cascade Select), so you want to review your coverage.

Now I know many of us are concerned about the Supreme Court and whether the ACA will be upheld. At the present, all systems are go, but you will be notified if and when new information is made available.

In addition if you are shopping on Wahealthplanfinder.org there are new plan choices for 2021. United Healthcare, Regence Blue Shield, and Providence Health are now available. (in select counties).

During this Open Enrollment Period:

    1. If you are currently enrolled, now is the time of year to make changes. You can change companies or plans.
    2. If you are not enrolled in a plan, you can enroll, and you cannot be declined. Also know that plans have no restriction for pre-existing conditions.
    3. Also, I recommend you log into your account to check your coverage and income. Know that your tax credit / premium reduction is based on your income. Please do not wait until after December 15 to find out you were not renewed.

I am a broker. Just go to where it says need help from a broker and look me up. I am often asked why I need a broker:

    1. As an agent I have information about companies and plans option not available when calling 800#.
    2. This is probably most important reason, if you have a problem, or dispute I am there to help you get it resolved. No one ever expects a problem. I am there to advocate for you.
    3. There is no addition cost for you to use a broker as we are paid by the insurance company. Using a broker does not change amount you pay.

If you are not familiar with how our Medical Insurance system works here is a quick refresher. You pay premium based on income. If your income is below 1.35% of the Federal Poverty Level, (approx. $1,465/month) for an individual you would qualify for No Cost Medical Insurance or Apple Health. As your income increases you receive an immediate tax credits / premium reduction until your income reaches 400% of the Federal Poverty Level.

Household Size Income Limit

    1 - $51,040
    2 - $68,960
    3 - $86,880
    4 - $104,800
    5 - $122,720
    6 - $140,640
    7 - $158,560
    8 - $176,480

Your income in reconciled when you do your taxes so if you under or over estimate your income you will either have money refunded or you will have to pay the difference between the amount of the credit you received verses the amount you should have received.

The Affordable Care Act is great for people with lower incomes but if your income exceeds the limits, we both know the premium can be expensive. Since illness and injury always happen when you don’t expect it, you want to be covered.

AFI offers some alternative plans that will protect you and your family with premiums 30 to 50% less. You can find coverage for as little $105/mth

Go to Shop Online

I also encourage you to review the Agency Blog – click the Resources tab

December 2018 - Save 30 – 50% on Healthcare Coverage
August 2020 - Are you Self-Employed, or 1099?
September 2019 - Group Medical Insurance for Employers in Washington State

Everyone is healthy until they are not. Don’t get caught with your pants down.