Dickerson Update, November 7 – Special Enrollment Period for Employees and Dependents who Previously Waived Coverage

Aetna Special Enrollment

Governor Newsom signed individual mandate SB 78 into law June 2019, which restored a tax-imposed penalty on individuals who do not have insurance effective January 1, 2020. While there are some exemptions to the mandate, individuals who do not maintain coverage are subject to a $695 state tax penalty.

Due to SB 78, Aetna is offering a one-time open enrollment for Small Group employees and dependents that previously waived coverage regardless of anniversary date. Employees must submit enrollment forms to Aetna between December 1, 2019 and December 20, 2019 for a January 1, 2020 effective date. Groups with a 15th of the month anniversary date will be effective January 15, 2020.

For more information, please contact your Dickerson Account Executive.

Covered California Special Enrollment

As a response to SB 78, Covered California announced it’s offering a Special Enrollment Period (SEP) for individuals who previously waived coverage for themselves, dependents, and spouses. The SEP is open through January 31, 2020 for a coverage effective date of January 1, 2020.

For more information, click here.

Kaiser Special Enrollment

Kaiser also announced a new Special Enrollment in response to SB 78 for small group employees, their spouse or domestic partner, and dependents who previously waived or declined coverage. From now till December 31st, small group employees can enroll and receive coverage on January 1, 2020 in order to prevent financial penalties.

For more information on this special open enrollment window, click here.

MediExcel Special Enrollment

MediExcel announced its new Special Open Enrollment Guidelines. Between now and December 31st, employees who have previously waived coverage for themselves and/ or their dependents may enroll in MediExcel Health Plan and have coverage commence on January 1st, 2020. Doing so will allow employees to have valid insurance in 2020 and avoid paying California’s new individual mandate penalty.

Click here for more information.

Oscar Special Enrollment

Oscar announced its Special Enrollment window for both employees and dependents who’ve previously waived or declined coverage in 2019. These employees and their eligible dependents can enroll for coverage effective January 1, 2020, without a Qualifying Life Event.  When selecting the Qualifying Life Event, please select “CA Special Open Enrollment.”

To learn more, click here.

United Healthcare Special Enrollment

United Healthcare is also offering a Special Enrollment period for employees who previously declined or waived coverage. Employees can start enrolling now until January 31, 2020. Coverage for those who enroll will begin January 1, 2020.

For more information on this new special enrollment through UHC, please contact your Dickerson Account Executive.

Immune Globulin Shortage Forcing Doctors to Cancel Lifesaving Treatments

Even as hospitals and treatment centers are resorting to rationing and dose-cutting, A severe shortage of immune globulin — a popular medicine used to treat epilepsy, cancer and immune disorders — is forcing doctors nationwide to cancel patients’ lifesaving infusions.

Made from human blood donations, immune globulin contains infection-fighting antibodies derived from blood plasma, and it is typically administered to patients intravenously in a hospital or an infusion center. The medicine is highly effective and has become popular in recent years among doctors who routinely prescribe it for off-label conditions. Click here for more.