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The Great ObamaCare Debate, Part 237: Back to Court The Great ObamaCare Debate, Part 237: Back to Court

01-18-2014 , 07:02 PM
Quote:
Originally Posted by rjoefish
Then my employer pays about 900/mo for a healthy, single, 30 year old.
What's your contribution?
01-18-2014 , 07:11 PM
0.
01-18-2014 , 08:13 PM
Quote:
Originally Posted by FlyWf
I guess it's possible he's in a small group that employs a lot of old people, but that's a really small part of the market and his business being in two states makes me think that's unlikely.
This is basically my situation. Also one of my coworkers has a family member who was diagnosed with terminal cancer this year. Our plan is up for renewal soon. I should expect a significant increase right?

Also, isn't this the ideal situation for a company to let all their employees go to the exchanges for health insurance? I doubt it will happen though. It's a company owned by retired military employed mostly by retired military. I don't even know their political beliefs but I would assume the owners would let their company crash and burn before forcing their employees to use Obamacare.
01-18-2014 , 08:29 PM
Quote:
Originally Posted by d10
This is basically my situation. Also one of my coworkers has a family member who was diagnosed with terminal cancer this year. Our plan is up for renewal soon. I should expect a significant increase right?
Probably not. If your company has fewer than 50 employees, then they can't raise rates due to health. If your company is in roughly the 51-500 range, insurers use two mechanisms to keep rates from fluctuating wildly from year to year based on experience. The first is called large claims pooling, where only the first 60k or so in claims from any given person counts against the group's experience. The second is credibility weighting, where the actual experience of a smaller group is weighted less heavily than that of a larger group.

If your company is over 500 employees, they probably pay their own claims but buy stop loss similar to the pooling limit I described.

So basically it's very unlikely one person's bad health will have a meaningful impact on your company's premiums.
01-18-2014 , 09:03 PM
Thanks, good to know. It's about 100 employees. We've been told to expect an increase anyway but they're still shopping plans so no idea what the cost will be. Pretty sure they won't try to pull a layemdown on me though.
01-18-2014 , 09:49 PM
Chiefsplanet does not believe I have a 55-year-old self-employed uncle who couldn't get private health insurance before Obamacare. UNFATHOMABLE
01-18-2014 , 10:31 PM
They seem as smart as the average Chiefs fan.

/shots
01-18-2014 , 10:32 PM
Quote:
Originally Posted by Jim Russell
It's 7 in the exchanges and another 8 million in Medicaid and CHIP expansion, so that's 15 million in 2014. And that's just 2014. In 2015, it's another, 6 mill, and in 2016 another 9 million just in the exchanges. Medicaid will bump up to 12 mill from 9 and level off. So, anyway, in 3 or 4 years, you're looking at min 25 million with health coverage. Here's the CBO's estimates: http://www.cbo.gov/sites/default/fil...Coverage_2.pdf

Edit: actually, the CBO probably does not account for several states refusing to expand Medicaid and promote the exchange, tho many states may decide to do so down the road as they are giving up a lot of federal money. So CBO numbers are likely overestimate until those states get their act together.

The point I wanted to make is that that was just a CBO estimate of how many people would sign up, not how many people needed to sign up to make ACA work. The important part is the ratio of healthy youngsters to sick oldsters.

It is pretty clear that sick people will sign up sooner and healthy people will sign up later, closer to March deadline. But still, you are looking at 51 individual exchanges, some will be great, some so so, some will suck. Blame it on your state if your exchange sucks, because there will be other states with great exchanges.



What about them? Did they sign up for new, better, and cheaper plans?

My guess is yes. Their plans were close to useless anyway. Many of those people will even qualify for completely free Medicaid or huge exchange subsidies.

And is the number really 6 million? Where are these people screaming that they are now without insurance? My guess is they have insurance now.

But where does that 6 mill number come from? Estimates or actual reports from insurers. I'd just like to see the source.

Finally, all this garbage about Obama lied when he said, "If you like your policy, you can keep it."

He didn't lie. Nobody liked the garbage policies they had. If you didn't like it, which they didn't, then you can't keep it. Simple as that. Case closed.
Wow. The bottom half of this post is.... just wow.

You say things like what I made red, and then say things like I made blue.

SO you want sources, but also want to blather on with your opinions of what other people thought of their own health care plans.

And there really is no doubt obama lied.

The truth was "If obama liked your HC plan you could keep it"... the actual policy owner had zero say in if they could keep it.
01-18-2014 , 10:36 PM
Quote:
Originally Posted by rjoefish
Does the cobra premium I would pay represent the true cost?
Not in Georgia.

Edit: To be clear, if one of our employees takes COBRA, they pay 35% I believe.
01-18-2014 , 10:50 PM
Quote:
Originally Posted by suzzer99
Chiefsplanet does not believe I have a 55-year-old self-employed uncle who couldn't get private health insurance before Obamacare. UNFATHOMABLE
I never saw the post-ACA uncle update. Did he ever get signed up?
01-18-2014 , 10:56 PM
Well in an interesting twist of fate his wife (teacher) came out of retirement so for now he's on her plan. But I think she's quitting again at the end of the school year and he'll have to sign up then. I will keep the thread updated.

The other interesting development is that my newly-retired stepdad is going to need Obamacare after his COBRA runs out and before Medicare kicks in. Of course like most of the rest of my family he thinks Obamacare is the road to Hell – so the cognitive dissonance is going to be interesting.
01-18-2014 , 10:56 PM
Quote:
Originally Posted by pokerbobo
Wow. The bottom half of this post is.... just wow.

You say things like what I made red, and then say things like I made blue.

SO you want sources, but also want to blather on with your opinions of what other people thought of their own health care plans.

And there really is no doubt obama lied.

The truth was "If obama liked your HC plan you could keep it"... the actual policy owner had zero say in if they could keep it.
Which of the cancelled insurance plans were cancelled because the insurance company was literally forced to by the government?
01-18-2014 , 11:03 PM
All,

Please look at your pay stub, calculate how much your current employer provided health insurance costs, then report back to the thread!
01-18-2014 , 11:07 PM
Quote:
Originally Posted by goofball
All,

Please look at your pay stub, calculate how much your current employer provided health insurance costs, then report back to the thread!
My family plan's in the neighborhood of $900.
01-18-2014 , 11:17 PM
Quote:
Originally Posted by goofball
All,

Please look at your pay stub, calculate how much your current employer provided health insurance costs, then report back to the thread!
Oh I thought you wanted us to guess at what it was to see if we knew anything. I'll have to check what it actually was.
01-18-2014 , 11:19 PM
Feel free to guess before you look and report that too. But mostly I'm just curious what all these employer plans cost
01-18-2014 , 11:25 PM
Quote:
Originally Posted by goofball
All,

Please look at your pay stub, calculate how much your current employer provided health insurance costs, then report back to the thread!
Student health insurance is 209/mo out of pocket for me, but I haven't paid for a doc visit yet and won't have to so long as I'm going to a tulane doc.

No idea if school contributes, don't think so they just require it.
01-18-2014 , 11:33 PM
Goofball,

I pay like 80/mo out of ~410 for my plan, but it's the HSA option. Closer to 500 for the base PPO 600 deductible plan.

My company is generally unhealthy though. We're over 10% higher than the book of business we sell to.
01-18-2014 , 11:38 PM
No idea what my wife pays, but it's worth it
01-18-2014 , 11:40 PM
Justin,

Does your company contribute to your HSA?
01-18-2014 , 11:43 PM
Quote:
Originally Posted by Ineedaride2
Not in Georgia.

Edit: To be clear, if one of our employees takes COBRA, they pay 35% I believe.
Well there's no way the premium would be 2500.
01-18-2014 , 11:50 PM
Quote:
Originally Posted by rjoefish
Well there's no way the premium would be 2500.
I -think- the new rule is that whatever you pay while employed is what you pay if you apply for COBRA. Percentages will probably vary.

I do not guarantee the veracity of this statement.
01-19-2014 , 12:11 AM
I work for a Fortune 500 company - pay $160/month for an individual PPO with $500 deductible and $25-$30 copays. I can't find what my company pays but I think it's somewhere between 65-80% of the total. So they pay $320-$800 of $480-$960.

My insurance went up $80/month and my deductible when from $200 to $500. All the company literature was massively slanted to push us to the high-deductible plans - which I might have taken if I hadn't waited until 1 day after the sign up period to actually read the literature. It also said my plan won't even exist next year.

My company is still making a profit hand over fist - but we aren't growing anymore. Which of course on Wall St. means you're sinking and it's time to panic. They've been implementing cost-cutting like crazy in every area. I would bet this is just another one of those - since there's no reason for our health insurance to go up that much. They haven't come out and blamed the ACA but I'm sure they won't mind if people think that.

The upside imo is that if more companies push people onto high-deductible plans you might start seeing some downward pressure on some non-critical medical costs. Maybe people will actually start asking how much stuff costs.
01-19-2014 , 12:17 AM
Quote:
Originally Posted by goofball
Justin,

Does your company contribute to your HSA?
Yes, 750 per year
01-19-2014 , 12:40 AM
Lol 500 deductibles. That's my max oop

      
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