Kaiser Announces Relaxed DE9C, Payroll, and Participation Requirements!

Kaiser Announces Latest Small Group Requirements  

Relaxed DE 9C and payroll requirements — New small groups with 6+ enrolling subscribers aren’t required to submit a DE 9C or payroll documentation.*

Reduced payroll requirements for startup businesses — New small groups with fewer than 6 enrolling subscribers that do not yet have a DE 9C for a full quarter can now qualify for coverage by providing 2 weeks of payroll records that show 1 or more eligible employees.*

New Employee Eligibility form – This form documents eligible employees NOT on the DE 9C who were hired in the last 45 days and can’t show 2 weeks of payroll.

Payroll Attestation form – This form is used for new businesses (like a start-up, breakaway, or an existing business that’s establishing payroll) to document eligible employees. Groups are required to submit 30 days of payroll within 45 days of their effective date.*

Reduced participation requirements — Small groups may qualify with only 50% of eligible employees enrolled in a group health plan.

Example: if you have a group of 10 and there are 4 valid waivers (Individual is now a valid waiver in small group), Kaiser Permanente needs only one to enroll.  The 4 valid waivers plus the enrolled subscriber equals 5.  We count the valid waivers as participants, thus, we met the 50% requirement for a group of 10.

Relaxed out-of-state requirement – Out-of-state small groups may qualify with less than 51% of eligible employees in California.


Molina Health Care Celebrates Women’s History Month by Recognizing Seven Extraordinary Women in Health Care

Thousands of years before anyone used the term “glass ceiling,” women were making game-changing contributions to science and medicine despite being barred from these fields. For Women’s History Month, Molina is proud to celebrate a few of these influential women and their enduring achievements. Visit Molina’s website for a quick review of women in medical history.


Obamacare’s About to Get a Lot More Affordable!

For this year and next, the stimulus bill boosts subsidies for nearly all those buying their own coverage, making insurance free for more people and giving higher-income people discounts for the first time. Under the stimulus bill passed by Congress this week and set to be signed by President Biden on Friday March 12, nearly all those who buy their own insurance are eligible for a discount. The American Rescue Plan broadens the subsidies available under the Affordable Care Act for comprehensive health insurance — increasing them for people who are already eligible, and providing new assistance for people with incomes previously too high to qualify. Click here for the whole story.

COVID Stimulus Bill Will Lower Health Care Costs for More than 1 Million Californians

More than 1 million Californians will start saving hundreds — possibly thousands — of dollars per year on health care costs after President Joe Biden signs the COVID-19 stimulus plan going through Congress. The changes aim to make coverage more accessible for people who buy health insurance through the Affordable Care Act, the health care law former President Donald Trump repeatedly tried to overturn before losing his reelection bid. Click here for the whole story.

Virtual Doctor’s Visits And Digital Health Tools Take Off In Pandemic 

“Telehealth” and “e-health” tools have been available for over a decade, but patients and doctors alike were reluctant to give up in-person appointments. Recently, Telemedicine and other health-related technologies have gotten huge boosts as COVID-19 upended how patients receive medical attention. Virtual doctor’s appointments and therapy sessions will likely be the norm, even after more people are vaccinated. Click here for more insights to this trend.

More Than 200,000 Americans Sign Up For ACA Health Plans During Special Enrollment Period

More than 200,000 Americans signed up for Affordable Care Act health plans during the first two weeks of an extended enrollment period President Biden ordered to help more people find insurance amid the economic ripple effects caused by the coronavirus pandemic. Click here for the whole story.