Immediate 2010 Healthcare Changes

A lot of people know my husband and I are health and life insurance agents, and that we own our Florida based business representing many insurance carriers. A lot of you have asked how the new laws will affect our business. The more important question is how are the new laws going to affect you? Because you are our client, friend or family, we want you to be aware of the following elements of the bill. Briefly, the Bill will:


• Mandate that everyone must have insurance.

• Result in more than 30 million additional people becoming insured.

• Provide for subsidized coverage for people that can’t afford it and increase the number of people that will qualify for Medicaid.

• Make cuts to Medicare Advantage Plans and change their payment formula.

• Increase taxes and fees to many individual Americans and Corporations.

• Make many changes to the way Insurance Companies do business from not allowing them to use pre-existing conditions to limiting their rates based on medical loss ratios.

Many of these elements are phased in over the next eight years. Those that are most immediate and are expected to occur in 2010 are:

• Tax credits for certain small businesses.

• Elimination of pre-existing conditions and an increase in dependant coverage to age 26.

• Creation of a temporary reinsurance program to provide coverage for retirees over 55 who are not eligible for Medicare.

• The further creation of a temporary national high risk insurance pool.

• The prohibition of lifetime limits on benefit payments.

• Closing the so called “doughnut hole” by providing immediate tax credits for Medicare patients who face a gap in prescription drug coverage.

The real impact in the health insurance system won’t occur until the year 2014. During the interim, there will be the phase-in of additional new taxes that will provide added government revenue to pay for these changes. The four most significant changes occurring in 2014 are:

• Insurers will be required to take all applicants.

• Insurance will be mandated for all Americans.

• Tax credits to help pay premiums will start flowing to middle-class working families. The most aid – including help with copayments and deductibles – will be made available for those individuals and families on the lower end of the income scale.

• Insurance exchanges will be created to help administer subsidies for those individuals that require them.

While these changes are all designed to spread health risk more broadly, they are also expected to increase insurance premiums. It is unclear how and when carriers will adjust their premiums to compensate for the additional risks they will incur.

While we are uncertain as to the final design of insurance plans, it is clear that the majority of working-age Americans and their families will continue to have employer-sponsored coverage as they do today. In addition, through mandates and other subsidies, the number of people insured can grow by more than 30 million.

Both Emerson and myself are committed to making certain that you have a full understanding of each of the elements of the bill well in advance of when they are implemented. If you have any further questions Please contact The Polanco Group, Inc at our office: 1-954-349-7333.