the affordable care act where does it stand in 2018? · the affordable care act where does it stand...
TRANSCRIPT
The Affordable Care Act
Where Does it Stand in 2018?
DONNA LOSCH RHU, CHHC
SENIOR VICE PRESIDENT BROWN & BROWN INSURANCE
PROGRAM MANAGER OF THE NWFA TRUST
The Affordable Care Act
Where Does it Stand for 2018?
Before the November 2017 Election
Democrats ran on ‘Fixing Obamacare and Improving It’
Republicans ran on ‘Repeal and Replace’
The majority of polls called for:
Democratic President
Republican House
Too close to call for the Senate – Republican edge
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The Election
As of January 2018
Republican Senate
Republican House
Republican President
Everyone was sure of Repeal and Replace
But as President Trump has said…
Healthcare is Complicated
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Takeaways Are Difficult
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Repeal and Replace
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It Has Been a Wild Ride
It Has Been a Roller Coaster:
Keep It
Repeal and Replace it
Just Repeal it
Just Fix it
As of September 30th
Repeal can no longer be done under budget reconciliation
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60% Majority Needed
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We Have Moved On To
Executive Order
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Most Recent Happenings
Executive Orders
Okay to sell insurance across state lines
National or Regional Association plans now okay
ACA Out-of-Pocket subsidies ended
Not to be confused with the Premium Subsidies
Murray/Alexander Bi-Partisan Attempt
Shoring up the ACA in the short term
President is… For It or… Against It?
24 Senators – 12 Red & 12 Blue have pledged support
Might be too late for 2018
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What Does It All Really Mean to
Your Credit Union?
The ACA – Remains the Law of the Land
Which means:
Employer Mandates Remain
Essential Health Benefits Remain
Child Coverage to 26 Remains
No Pre-existing Exclusions Allowed
No Life Time Limits on Coverage
Preventive Covered at 100%
Individual Mandate Remains
Annual ACA Reporting Remains - 2017 Due in Early 2018
Not much change for an employer sponsored health plan in 2018
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What Does It Mean for
Non-Employer Plans?
A lot of change if you are an individual/family
seeking coverage
Individual Mandate Remains
IRS will enforce the penalties
A lot of unknowns surround the State/Federal Exchanges
Will Executive Orders be implemented?
If so, how will Stakeholders respond?
Insurance is governed at the State level
Carriers have to agree to play
Several lawsuits already filed
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What Does It All Really Mean?
Biggest impact
Uncertainty and a changing landscape
Uncertainty causes prices to increase
Uncertainly causes carriers to decline to quote or exit the market in unprofitable areas
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What Does It All Really Mean?
Biggest Misunderstanding
Insurance Companies will not absorb these changes
They have and will continue to pass them on to the
consumer
Employer and Individual Markets will be impacted
Employer at next renewal
Individual as soon as January 1, 2018
Taxes will be passed on for payment by insured not insurer
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Things We Know for Sure
The Exchanges – Open Enrollment November 1st
CHIP Program is Re-Funded – Medicaid for Children
Exchange Rates will be impacted
If ACA Out-of-Pocket Subsides are Removed
WA and OR will allow a rate hike
Those getting premium subsidies will get the hike subsidized
Those getting no premium subsidy will absorb the hike
Employer Paid Coverage Will Look Very Attractive
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Things We Know for Sure
The Wild Ride is NOT OVER!
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Healthcare Remains Complicated
The NWFA Trust can help you stay apprised of the most
up-to-date laws and regulations
On top of that, The Trust can keep the day-to-day
administration of your healthcare benefits as easy as
possible by offering you:
Online Enrollment
Consolidated Billing
COBRA Administration
Compliance Support
Wellness Challenges & Wellness Dollars
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THANK YOU!
INTERESTED IN LEARNING MORE
ABOUT THE TRUST?
DONNA LOSCH
PROGRAM MANAGER
253.396.5544