Avenue H: Utah's Health Insurance Marketplace

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Utah's Health Insurance Marketplace, by Patty Conner, Director

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Avenue H: Utah's Health Insurance Marketplace

  1. 1. July 16, 2013 Presented by Patty Conner, Director Where small business shops for health insurance
  2. 2. Utah’s MarketPlace Solution • Individual Application • Medicaid Assessment • Tax Subsidies/Cost Sharing Reductions • Enrollment in Private Insurance Plans • Medicaid/CHIP Determination • Enrollment in Medicaid • Re-certification • Group Application • Plan Comparison • Enrollment • Single Invoice for Premium Payment • Sm. Employer Tax Credit Avenue H Carriers Operated by Federal Govt. Utah Department of Workforce Services Enrollment files/subsidies Carriers collect premiums Individual Small Business www.healthcare.gov www.avenueH.com Public Insurance/Subsidized Private Insurance Private Insurance
  3. 3. Avenue H, Health Insurance Marketplace  ACA State-based Marketplace for Utah  Market-oriented, competitive environment  One stop shop for Medical, Dental and Health Savings Accounts  Defined Contribution Approach  Flat dollar amount, no minimum  Pre-tax Benefits for employee and employer  Employee Choice  Plan Comparison Tools and Transparency  Administrative Ease  Small Employer Premium Tax Credit 3
  4. 4. Broker Credentialing To assist clients on Avenue H, producers must:  Have a current Utah Health Producer license  Be appointed by all participating carriers as a producer  Attend training for Utah Premium Partnership (UPP)  Attend Avenue H Training  All Producers must get re-credentialed this fall  2 hour CE courses will start on August 14th, every Thursday through October  Register for course at www.avenueh.com
  5. 5. Options-Do the Math Individual Small Employers Large Employers Who Individuals and their Families 1-50 FT 50 + FT Access • Individual Marketplace • Commercial Market • Avenue H • Commercial Market • Commercial Market Subsidies • APTC • CSR • Sm. Employer Premium Tax Credit • UPP None Premiums Post-Tax Pre-Tax Pre-Tax Open Enrollment Oct 2013- March 2014 Begins Oct 2013 Anytime Penalties 2014: $95 pmpy 2015: $325 pmpy None $2,000 or $3,000 pepy EHB Applies Applies N/A

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