SHOP Health Coverage Guide Update. Jim Sugden Small Business Marketplace Manager Connect for Health Colorado 8/13/2013. Today’s Agenda. Where are we now? SHOP Value Proposition What will happen on October 1 st ? What will happen on January 1 st ? Working with Brokers and Service Center
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Small Business Marketplace Manager
Connect for Health Colorado
Anthem ColoradoChoice Colorado HealthOP
Rocky Mtn Health Plans
SeeChange Health Ins.
#1: The Power of Choice
Enhanced, multi-plan, multi-carrier CHOICE canempower employees to elect health plans that better serve their medical and financial needs.
When given the option, many employees will elect plans that reduce their premiums and often their employer’s premiums as well.
#2:Tax Credit Availability
The Small Business Health Care Tax Credit can make your costs for health group insurance more affordable.
Up to 50% credit for your businesses share of premiums (not including those paid for the business owners or their families)
Available for businesses with fewer than 25 employees with average employee income of less than $50,000.
Estimate your credit at: www.connectforhealthco.com
Uniform Age Banding
Uniform Age Rating Curve
Example to follow…
Adult Child, 24
= Family members included in premium rate
1)The ER pays a fixed percentage of each EE’s age-rated premium, or
2)The ER generates a composite or average rate for all employees and then determines ER and EE contributions based on the composite rate
*The ER pays a flat dollar amount or Defined Contribution(still some questions)
Life Change Events
Sec. 105h Nondiscrimination Rules
Delayed by DOL from original 9/23/10 effective date
What plans do you have for outreach and education?
How can we support your efforts?