Individual & Family
Group health
Medicare Supplement

Best rates GUARANTEED

Free Assistance 800-320-6269

California health insurance  -  Health Reform in California  -  Income qualification period

Updates to California health subsidy qualification period

Covered California has rolled out the agent certification system and we are feverishly going through it to best understand all aspects of the new system that many Californians (especially those that qualify for subsidies) will use to enroll in the new health plans starting October 1st (for a Jan 1st 2014 effective date).

We may have answered a critical question regarding the period of time that the system will look at in terms of income to qualify for a health subsidy, arguably the most important part of the entire health reform bill.

So let's discuss what've we've found.

Why income matters with the ACA health law

Sizable subsidies built into the law will be based on income.

People making under 400% of the Federal Poverty Level might be eligible for Advanced Tax Credits towards the purchase of qualified health plans. These subsidies can literally be $1000's of dollars per year.

Originally, we were given guidance that eligibility would be based on the most recent period that could be verified through taxes (the April 2013 tax filing reflecting 2012 income data).

We have already had questions about changes in income from that period of time till now. Let's look at an example.

Why the period difference matters so much

A woman called in to see if she can expect a tax subsidy.

Her income (just for herself) was $60K in 2012 but she lost her job in the summer of 2013 and now has a part time position earning $3K monthly.

Based on the 2012 period, she would not qualify for a tax credit towards the purchase of health insurance (400% of the FPL for one person is approximately $46K in 2012). Her expected income in 2014 however is $36K which would qualify for a subsidy.

That can mean the difference of approximately $2500 annually for her and it would drop her premium from $300 to $100 per month.

It's a big deal!

So what does the certification training lead us to believe?

2014 Estimates requested on the online application

We payed particular attention to the income submission area on the trial application. In this section, the system required the applicant to submit their estimated income.

For example, it asked how many hours a person worked at a given job and at how much per hour, month, or year. It then calculated the expected annual income from this entry and used it as a means to establish subsidy eligibility.

The system will supposedly bounce these figures off of various government agencies and if there is a discrepancy, further documentation may need to be submitted. We imagine this will be needed for big changes in income (loss of job, promotion, etc).

The Advance part of the Advanced Tax Credit

True to the name, it looks like California will ask the applicant to enter their expected gross income for 2014 and receive an advanced tax credit if eligible. It also warns that the applicant may have to pay back the credit if income turns out to be higher than submitted.

Our recommendation is to list your income accurately as you know and expect it for 2014.

Follow the prompts of the online or hard copy app and feel free to contact us as with questions you have on your situation or health insurance needs.

You can run your California Dental plan quote here to view rates and plans side by side from the major carriers...Free.

Again, there is absolutely no cost to you for our services.  Call 800-320-6269 Today!

YOU MAY STILL BE
ABLE TO ENROLL

In just 15 minutes:

  • - Get the most tax credit available
  • - Find the best plan for your needs
  • - Enroll right over the phone!




Call 800-320-6269

Our Services are FREE to You!

Need Help
With Existing Account

We can help you:

  • -Get required docs to covered Ca.
  • -Make changes to income and other info
  • -Choose and finalize plan enrollment
  • -Make sure you get right tax credit
  • -Payment/membership issues with carriers

Call to Enroll over the Phone in 15 Minutes

If Your Income
Is In This Range

Current Years Estimate; All those that file together on one 1040:


Single Person: $16k - $47k
2 People $22k - $64k
3 People $27k - $80k
4 People $33k - $97k

Call 800-320-6269
Anthem Blue Cross California
Blue Shield of California under Covered California
Kaiser of California
Health Net of California
Aetna
and more
Thousands of Californians
Hundreds of California Companies
SUCCESSFULLY
ENROLLED
Thousands of Californians
Hundreds of California Companies

from SC

"My sincere thanks for making a miracle happen- 2014 health insurance !! Many thanks for your expertise and advice yesterday !!"

from SD

"Thanks again for your help - I had absolutely no idea how to get this done when I got up this morning. You've made it remarkably easier than I expected. I hope you're not stuck at the office all night..."

from KV

"Anyway, I hope you got some time off this past week! Thank you again for your help and efforts on my behalf! I was very lucky to find you."

from EK

"I thank you very much for the time that you have invested in handling everything

from SR

"I truly appreciate the quick response and will think of you in the future if I need to make any changes to my insurance plans."

from VH

"You are awesome... takes a huge worry off my back, thank you for your kind. thanks for your time and kindness. !!"

from SA

"Wow, I can't thank you guys enough for your help...I couldn't imagine trying to tackle this on my own!"

from LM

"You are my new best friend. A HUGE thank you again.

SUCCESSFULLY
ENROLLED
Find out what customers are saying about our services
About Calhealth.net

20 years of experience in the California health insurance market has taught us one thing...Competent and experienced guidance is Invaluable

We can quickly (very important) size up your health insurance needs and clearly explain the options available to you. Our focus is finding the most coverage at the best cost to you.

We are licensed Covered Ca agents with in-depth knowledge of their plans, process, and tax credits.

Call us...you will be Pleasantly Surprised.  800-320-6269

Request a 10 Minute Health Plan Check-up

We'll quickly see if you have the best priced plan available and if you qualify for a tax credit

800-320-6269
calhealth website

Our Services are FREE to You

Calhealth.net is a Goodacre Insurance Services Website

This website is owned and operated by Goodacre Insurance Services, which is solely responsible for its content. This site is not maintained by or associated with Covered California, and Covered California bears no responsibility for its content. The email address and phone numbers that appear throughout the site belong to Goodacre Insurance Services, and cannot be used to contact Covered California.