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Important Changes to Part D in 2025

9/5/2024

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important_changes_to_part_d_in_2025.pdf
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File Type: pdf
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Bring a NEW book to support children in the GBR community the week of 6/26 - 6/30

6/26/2023

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​The Insurance Lady is partnering with The Life of a Single Mom to give 1,000+ new books to children ages pre-k to 5th grade to promote childhood literacy and a promising '23-'24 school year. 

The Life of a Single Mom has is serving 75 single mom-led families with back-to-school supplies, including 225 children with backpacks, supplies, planners, and the like. As you may know, school preparation is a tremendous financial burden for single mother-led families. Those supplies have already been provided. However, we'd like to also provide 5 new books per child to promote childhood literacy and a healthy school year launch. 
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Medicaid Unwinding Announcement: Licensed Insurance Agents Ready to Assist with Questions and Concerns

6/13/2023

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FOR IMMEDIATE RELEASE
  
LOUISIANA - In light of the recent developments regarding Medicaid unwinding, Trish Freeman, The Insurance Lady, a trusted insurance agent for the past 30 years, wants to ensure that individuals and families have access to accurate information and guidance during this transition. As part of our commitment to supporting the community, we encourage those with questions or concerns to reach out to our team of licensed insurance agents who are well-versed in Medicaid and can provide the necessary assistance.
 
The unwinding of Medicaid can be a complex process, and we understand that individuals may have various queries related to their healthcare coverage. Our licensed insurance agents are equipped with the expertise and knowledge to help navigate the intricacies of insurance options available in the wake of Medicaid changes. They can provide personalized guidance, answer questions, and offer clarity on topics such as eligibility requirements, coverage options, enrollment procedures, and any potential impacts on existing healthcare arrangements.
 
At Trish Freeman Insurance Services, we firmly believe that access to accurate information is vital for making informed decisions about healthcare coverage. Our team of agents stay updated on the latest developments in the insurance industry, including changes to Medicaid and other public health programs. They undergo rigorous training and possess a deep understanding of the intricacies of insurance policies to ensure they can provide reliable advice tailored to each individual's unique circumstances.
 
By contacting our office, individuals and families can gain peace of mind knowing they have a dedicated resource to turn to during this period of transition. Whether they are seeking alternatives to Medicaid or require guidance on finding the most suitable insurance plan for their specific needs, our agents will be available to provide comprehensive support every step of the way.
 
For more information or to schedule a consultation with one of our licensed insurance agents, please call (225) 622-6554 or visit www.insurancelady.com. Our team is ready to assist and address any concerns related to Medicaid unwinding and its implications.
 
About The Insurance Lady:
Trish Freeman Insurance Services is a leading provider of insurance services, committed to helping individuals and families secure reliable healthcare coverage. With a team of licensed insurance agents dedicated to serving the community, we strive to deliver personalized assistance and expert advice. Our mission is to empower individuals to make informed decisions about their insurance needs, ensuring their peace of mind and protection.
 
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The "Family Glitch" Fix

5/30/2023

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​New rule fixes Affordable Care Act "Family Glitch"

Increasing the number of individuals eligible for Marketplace coverage in 2023. Until now under the Patient Protection and Affordable Care Act (ACA), employer sponsored coverage was considered affordable for all family members to whom an employer's offer extends if the premium for the employee's self-only coverage was considered affordable. The premium required to cover family members was not considered. 

Beginning plan year 2023

If an individual has an offer of employer-sponsored coverage that extends to their family members, the affordability of employer coverage for those family members will be based on the family premium cost, not the self-only premium cost. Family members will be eligible for financial assistance on the Marketplace if the employee's family premium cost is considered unaffordable and their income is within the limits. ​

Family Marketplace Eligibility

For 2023, an employer-sponsored plan is considered affordable if it does not exceed 9.12 percent of household income. ​
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Options for covering your family

  • ​Split Coverage (Employer and Marketplace): Employee could enroll in the affordable employer coverage, while their family members enroll in a Marketplace plan with advanced premium tax credits (APTC) / Cost Sharing Reductions (CSR) if otherwise eligible.
  • Employer Coverage Only: Whole family could enroll in the employee's offer of employer-sponsored coverage. While someone is enrolled in employer coverage, they aren't eligible for financial assistance on a Marketplace plan.
  • Marketplace Coverage Only: Employee could decline the affordable employer coverage, and the whole family could enroll in a Marketplace plan. They will pay full price for the employee's portion of the Marketplace plan premium, while other family members' portions would be lowered by using APTC and/or CSRs if they are otherwise eligible.
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Open Enrollment 2022

10/12/2021

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PLEASE MAKE SURE TO SCHEDULE YOUR APPOINTMENT OR FILL OUT OUR ONLINE QUESTIONNAIRE SO THAT WE CAN UPDATE YOUR APPLICATION FOR 2022.

​IF YOU HAVE RECEIVED A NOTICE OF PREMIUM INCREASE FROM BLUE CROSS IT MAY NOT BE ACCURATE. THE INCREASES ARE BASED ON YOUR 2021 INFORMATION.
New Client Form
Existing Client Form

OPEN ENROLLMENT 

The 2022 Open Enrollment period for Individuals purchasing health insurance is
November 1st, 2021, - December 15th, 2021
MAKE AN APPOINTMENT

HERE ARE A FEW THINGS YOU WILL NEED TO HAVE PREPARED:

  • 2022 estimated household income. Make sure to include every person that is on your tax return. W2 salary, Self-Employed salary, Retirement, Social Security, Investment Income, etc. 
  • Who will you claim on your 2022 tax return? Spouse? Children? Step-Children?
  • Married? As a reminder, you must file a joint tax return with your spouse to get the tax credit.
  • Does your employer or spouse's employer offer group health insurance? If so, what is the cost of the employee-only coverage?

IF YOU DON'T QUALIFY FOR A SUBSIDY

SUPER HEALTHY & DON'T NEED COVERAGE FOR PRE-EXISTING CONDITIONS
  • Short Term Medical Insurance
  • Health Care Sharing Plans (Faith-Based Sharing Options)
NEED PRE-EXISTING CONDITIONS COVERED OR A GUARANTEED ISSUE PLAN
  • If you need pre-existing coverage, your only option is an ACA plan or group plan
  • Husband / Wife Group plans with qualifying LLC
HUSBAND/WIFE GROUP PLANS
  • Do you own a business? An LLC? If you and your spouse are named on the Business Paperwork as co-owners, managers, or members of the LLC, and at least one of you are on payroll, we can discuss a Group Plan for you.

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DO NOT GO TO HEALTHCARE.GOV ALONE!

Health Insurance is complicated and confusing, and if done wrong, it has the potential to cause chaos for you and your family. Our services are FREE and our agency is among the ELITE Circle of Champions with HealthCare.gov so please let our team of professionals help guide you to the best option for you and your family. Plus, you have access to us all year long! We help with everything and we're happy to do so!

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If you've ever visited our office, there's no doubt you've met our furry mascots. Even if you've only called in, we are sure you've heard them over the phone. But, have you met the newest member of the Insurance Lady family, Blakely Rivers? Insurance-Baby-In-Training to take over the insurance business! Please give us grace this year, as she will be joining us for Open Enrollment. She even has her own nursery in the office!
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"Cracking open a bottle after a long hard day at work - Open Enrollment can be stressful"
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"Just learned to type - now I just need to learn how to spell"
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2021 Open Enrollment

10/30/2020

1 Comment

 
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This is not directed toward Medicare/ Medicare supplement clients or those on an employer sponsored/group plan.
Open Enrollment Questionnaire
Schedule your appointment
***Please make sure to set your appointment or fill out our online questionnaire so that we can update your application. 

​Note: Many clients are receiving information from Blue Cross about 2021 premiums for their current plan. Any premium increase they send you is based off of your 2020 information. The rate increase they are sending may not be accurate.***

Remember: The 2021 Open Enrollment period for Individuals purchasing health insurance (outside of an employer) is  November 1, 2020 through December 15, 2020


Here are a few things you will need you to have prepared for our phone call appointment:
  • 2020 estimated household income. Make sure to include every person that is on your tax return. W2 salary, Self-Employed salary, Retirement, Social Security, Investment Income, etc. 
  • Who will you claim on your 2020 tax return? Spouse? Children? Step-Children?
  • Married? As a reminder, you must file a joint tax return with your spouse to get the tax credit.
  • Does your employer or spouse's employer offer group health insurance? If so, what is the cost for the employee only coverage?
  • ​Does your income fall between 138% and 400% of the FPL (below) according to your tax size household?
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WHAT IF YOU DON'T QUALIFY FOR A SUBSIDY (TAX CREDIT)?

If you don't have access to employer sponsored insurance and don't qualify for a subsidy, we can discuss a few other options to avoid the high cost of those ACA plans.
Super Healthy and don't need coverage for Pre-Existing Conditions?
  • Short Term Medical Insurance
  • Health Care Sharing Plans (Faith Based Sharing Options)
Need Pre-Existing Coverage or Guaranteed Issue Plans?
  • If you need pre-existing coverage, your only option is an ACA plan or group plan
  • Husband / Wife Group plans with qualifying LLC
Husband/Wife Group Plans
Do you own a business? An LLC? If you and your spouse are named on the Business Paperwork as co-owners, managers or members of the LLC, we can discuss a Group Plan for you.

WARNING

Do not go to Healthcare.gov alone!

Health Insurance is complicated and confusing, and if done wrong, it has the potential to cause chaos for you and your family. Our services are FREE and our agency is among the ELITE Circle of Champions with HealthCare.gov so please let our team of professionals help guide you to the best option for you and your family. Plus, you have access to us all year long! We help with everything and we're happy to do so!
Open Enrollment Questionnaire
Schedule your appointment
1 Comment

Blue Cross Enrollment for Employees Who Previously Waived Coverage

3/24/2020

2 Comments

 
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Blue Cross Enrollment for Employees Who Previously Waived Coverage

Blue Cross will allow a medical, dental and vision group special enrollment period (SEP) for fully insured and small business funding groups choosing to participate. This SEP event is in light of the COVID-19 pandemic and is intended to allow employees on groups to enroll that are not currently serving a group established eligibility waiting period and had previously waived group coverage.
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Here are the details:

  • The SEP will be for an April 1, 2020, effective date.
  • The enrollment period will be open for requests received between March 24, 2020 and April 3, 2020.
  • Enrollment requests must be managed through the group as the group must choose to participate (no formal notification to Blue Cross is needed) and must approve of all eligibility changes as such changes affect employer contributions, payroll deductions, etc. (payroll records are not required).
  • Employees serving the group established eligibility waiting period are not eligible to enroll. Employees that had previously waived coverage only are eligible to enroll.
  • Currently enrolled employees can use this period to add eligible dependents if desired.
  • This SEP event is open to all fully insured and SBF groups regardless of size. If the group wishes to participate, all they need to do is send in approved applications. Medical, dental and vision change cards to add dependents and/or new enrolling applications do not need the applicant’s signature. No further action is needed.
  • This SEP event does not apply to life and disability products.

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Open Enrollment Ends in 11 Days!

12/4/2019

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Just 11 days away! If you have not made your Open Enrollment appointment or finished your 2020 insurance enrollment with us, you are running out of time! 

​To help us out, please send us your best estimate for your 2020 household income so we can get updated rates to you and help you with your 2020 plan selection.
MAKE YOUR APPOINTMENT

D O   Y O U   Q U A L I F Y   F O R   A.  T A X   C R E D I T  ?
Here are a few of the rules:
  • You must file a 2020 tax return
  • You cannot be offered group health insurance through your employer or a spouse’s employer
  • If married, you must file MARRIED FILING JOINTLY
  • For your household size, you must make above the 138% income and below the 400% income shown below
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2020 Open Enrollment

11/1/2019

1 Comment

 
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***Please make sure to set your appointment so that we can update your application. The premium increase from Blue Cross is too high, we can help lower it!***


Remember: The 2020 Open Enrollment period for Individuals purchasing health insurance (outside of an employer) is November 1, 2019 through December 15, 2019

Here are a few things you will need you to have prepared for our phone call appointment:

  • 2020 estimated household income. Make sure to include every person that is on your tax return. W2 salary, Self-Employed salary, Retirement, Social Security, Investment Income, etc. 
  • Who will you claim on your 2020 tax return? Spouse? Children? Step-Children?
  • Married? As a reminder, you must file a joint tax return with your spouse to get the tax credit.
  • Does your employer or spouse's employer offer group health insurance? If so, what is the cost for the employee only coverage?
  • ​Does your income fall between 138% and 400% of the FPL (below) according to your tax size household?
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WHAT IF YOU DON'T QUALIFY FOR A SUBSIDY (TAX CREDIT)?

If you don't have access to employer sponsored insurance and don't qualify for a subsidy, we can discuss a few other options to avoid the high cost of those ACA plans.
Super Healthy and don't need coverage for Pre-Existing Conditions?
  • Short Term Medical Insurance
  • Health Care Sharing Plans (Faith Based Sharing Options)
Need Pre-Existing Coverage or Guaranteed Issue Plans?
  • If you need pre-existing coverage, your only option is an ACA plan or group plan
  • Husband / Wife Group plans with qualifying LLC
Husband / Wife Group Plans
Do you own a business? An LLC? If you and your spouse are named on the Business Paperwork as co-owners, managers or members of the LLC, we can discuss a Group Plan for you.

WARNING
​ Do not go to Healthcare.gov alone!

Health Insurance is complicated and confusing, and if done wrong, it has the potential to cause chaos for you and your family. Our services are FREE and our agency is among the ELITE Circle of Champions with HealthCare.gov so please let our team of professionals help guide you to the best option for you and your family. Plus, you have access to us all year long! We help with everything and we're happy to do so!
SCHEDULE YOUR APPOINTMENT
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Humana Go365 Premium Discounts

7/16/2019

1 Comment

 
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​Humana's Wellness Engagement Incentive (WEI)

Humana’s Wellness Engagement Incentive (WEI) Recognition Program automatically earns premium credits for fully insured and Level Funded Premium (LFP) groups with fewer than 100 employees based on their engagement in Go365®.
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​Humana's Wellness Premium Discount (WPD)

For fully insured groups with more than 100 employees, they’re automatically eligible for Humana’s Wellness Premium Discount (WPD). Through this discount program, groups can earn up to 8% discounts on their medical renewal rates as more of their employees reach Silver, Gold, or Platinum Status in Go365.
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7% premium credit for each Silver employee

Through the WEI, these groups can earn A 7% premium credit for each employee who reaches Silver Status and a 15% premium credit for each employee who reaches Gold Status or higher. This video shows how easy it can be for employees to reach Silver Status in Go365 and start earning premium discounts.
WEI Program
WPD Program
WATCH go365

Learn more about Go365

Humana go365 Program
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  • About
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    • Health >
      • Individual/Family Insurance
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        • Employee Retention Credit
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