“Metal Level” Insurance Categories: Explained!

Open enrollment 2015 is finally upon us! Now is the time to be consumed with thoughts of health care in order to financially prepare yourself for the future. If you are preparing for the important decision of selecting your new health plan, you are probably aware that there are a number of different insurance categories to choose from. The categories differ based on how medical expenses will be shared between you and your plan.

Five main categories currently exist, and are known in the health care world as “metal levels”. The different levels take an individual’s monthly premium, coinsurance, copay, deductible, and out-of-pocket maximum into consideration. Here is a break down of the metal levels:

  • With a bronze level plan, you will pay approximately 40%, while your health plan will cover 60%.
  • In a silver plan, the costs are split into 70%, and 30%. You will pay the 30%, and your health care plan will pay about 70%.
  • With a gold level plan, you will only pay about 20%! Your health plan will cover the remaining 80%!
  • A platinum level health plan will pay all but 10%. The remaining 10% will be up to you.
  • Catastrophic coverage plans are only applicable for individuals under the age of 30! Those with this type of plan will also need to qualify for a hardship exemption. Catastrophic coverage plans pay under 60% of health expenses.

In order to choose the right plan for your needs, at a price that you can afford, you must consult with a Certified Covered California Broker. These individuals have the experience necessary to provide you with quality health care advice. Contact Bernardini & Donovan Insurance Services to get in contact with a broker, and make the open enrollment process much easier!

May is Skin Cancer Awareness Month

With the arrival of spring, almost everyone wants to head outside for fun. However, most people do not protect themselves from the sun and thus get skin cancer. The bad news is that 3.5 million Americans are diagnosed with skin cancer every year. The good news is that skin cancer prevention is easy. Here are tips from the Skin Cancer foundation.

Cover Up Before Going Out

Wear wide-brimmed hats and long sleeves in light fabrics when spending long times in the sun. If it’s impractical to wear long sleeves, then use sunscreen. Remember to use 2 tablespoons of sunscreen to help protect your entire body.

Check Your Skin Every Month

Take a few minutes every month to check your skin for strange colorations, new moles or red patches that will not go away. Remember to check in between fingers and toes, behind the ears and under your armpits. Women should lift their breasts to see under them for any strange lumps or bumps.

You can help to prevent skin cancer but you can’t protect yourself from everything. If you live in California and want to know how insurance can help protect you and your family, please contact Bernardini & Donovan Insurance Services located in Redlands.

Take Advantage Of California’s Enrollment Extension If You Still Want Health Insurance

Many people tried and failed to complete their enrollment in Covered California to get health insurance by March 31, 2014. Yet they still have an opportunity to get health insurance through Covered California by signing up before the new deadline of April 15, 2014.

Officials aren’t claiming this deadline as any type of extensions to the federal Marketplace enrollment signup. Instead, this is a grace period for people who tried to sign up through the Covered California marketplace exchange website on or before the mandated March 31st deadline yet were unsuccessful.

For people who can’t obtain insurance through their work, they will need to find a certified insurance agent, a certified enrollment counselor or an eligibility worker to complete the application in person.

The April 15 deadline will be the last open enrollment chance a person will have this spring. If you are still interested in getting health insurance for yourself or your family, take advantage of this grace period, call Bernardini & Donovan Insurance today to enroll in Covered California!

For more information about individual and family insurance in California, please contact Bernardini & Donovan Insurance located in Redlands at 877-251-2447.

Employer sponsored coverage, and Covered California premium subsidy, consumers be ware!

It has been brought to our attention through various sources that consumers are being misinformed and misled when it comes to qualifying for premium assistance through Covered California. We want to address this issue, as it has the potential for severe consequences.

Employees who are offered coverage through their employer cannot receive subsidy if their employer offers “affordable” coverage. How is “affordable” coverage defined under the Affordable Care Act? To determine if the coverage is “affordable” or not, we look at the employee ONLY monthly rate for health insurance coverage. The cost to add dependents, spouse, children, etc. DOES NOT play a role in this calculation. If the employee only pays less than 9.5% of the gross household income for health insurance, the coverage is deemed “affordable”.

A simple calculation would look like this. Let’s say the gross HOUSEHOLD income is $50,000. 9.5% of the gross family income would be $4750.  So, the EMPLOYEE ONLY would have to pay less than $396 per month ($4750 divided by 12 months equals $396 per month) for the coverage to be “affordable”. It is quite easy for an employer to provide “affordable” coverage. If the EMPLOYEE ONLY pays less than 9.5% of the gross household income on a monthly basis, ALL family members are disqualified from receiving subsidy through Covered California.

However, the children, based on the gross HOUSEHOLD income, may still qualify for Medicaid. Bottom line, if your employer offers you coverage, you need to check and see if it is affordable before looking to Covered California for subsidy. It is quite likely you will NOT be eligible for it.

Call us with questions at 909-792-5100.

Nothing Says More About a Company Than Testimonials!

The following is a testimonial from one of our wonderful clients:

“Bernardini & Donovan has assisted our law firm with our health insurance needs for almost a decade.  Right from the start, they impressed us with their efficient and professional manner.  Their customer service is top notch and their staff is knowledgeable and experienced.  They have consistently taken the time to answer our questions, address our concerns, and search for the best possible coverage to fit our needs while looking for competitive rates.

I sincerely appreciate all the assistance they have offered our firm and would highly recommend their services to anyone.”  – Megan B.

Subsidies Cut Price of Health Insurance

Subsidies will be reducing the overall price that many lower income Americans need to pay in regards to their newly mandatory health insurance policies. While health insurance policies are set to become more affordable as of January 1, 2014, many individuals still feel as though the monthly cost could potentially be out of reach. As a consequence, many individuals may wish to pursue the subsidies available to them.

When the Affordable Care Act is implemented, all individuals will be required to carry health insurance. This includes those that do not have employer-provided health insurance. Today, the costs of individual health insurance can be quite high, but in the future it is expected that insurance policies will become more affordable.

Those that have an income of less than four times the poverty level will be able to qualify for health insurance subsidies from the federal government so that they can afford basic health insurance. In addition to this, the standards of health insurance will be raised so that they are more beneficial to policy holders.

For more information about the individual subsidies available for individual health insurance contact Bernardini & Donovan Insurance Services, experts in the Affordable Care Act and individual health insurance needs.

Need Tax Assistance? Give 3H Business Services a Call!

In need of some tax assistance?  Don’t know where to turn when the IRS is sending you letters?  Give our friends at 3H Business Services a call.

3H Business Services has been in business since 1969 providing bookkeeping and tax preparation services.  We are versed in many industries, including, but not limited to: restaurants, manufacturing, horse racing and breeding, construction, clothing, HOA associations, Non-Profits, Automotive repairs, Transportation, Attorneys, Medical offices, and Insurance agents.  We also provide bookkeeping and tax preparation for asset protection.

In 2006, we were licensed as an enrolled agent with the IRS so that we can represent our clients with more authority in all 50 states on all types of tax returns, including: Individuals, Trusts, Estates, Inheritance taxes, Gift taxes, Partnerships, LLC’s, C and S corporations, Non-Profits, and Sales tax issues.

Our website has many useful tools as well.  Visit us at www.tripleh.net, or call us at 909-748-7782.  We look forward to being of service to you!

Covered California SHOP Exchange: What this means for employers

In California small businesses that are struggling to provide health care coverage for their employees now have hope. The Covered California SHOP (Small Business Health Options Program) Exchange will provide a greater selection of group health insurance coverage, previously only offered to businesses with larger numbers of employees. Small business owners who are interested in joining the Covered California SHOP Exchange can do so just as long as they have less than 50 employees, for the time being.

As part of this revolutionary program, small businesses with fewer than 25 employees, as well as an annual earning that is less than $50,000, can earn a 50 percent federal tax credit for any health care coverage that is purchased via SHOP. To date 375,000 small business employers in the state of California are eligible for this small business tax credit.

Here at Bernardini & Donovan Insurance Services we offer additional information regarding the Covered California SHOP Exchange. If you would like assistance in determining if you are eligible or how to be a part of the SHOP program, contact the insurance professionals at Bernardini & Donovan Insurance Services, located in Redlands, CA today.

 

Gresham | Savage: Winning Strategies and Winning Cases

Are you in need of an attorney to assist with employee issues?  Maybe update your employee handbook?  Bradley Neufeld and his associates at Gresham/Savage have given our clients the red carpet service.  We highly recommend Gresham/Savage.

B&D

Gresham | Savage:  Winning Strategies and Winning Cases

With an enviable 103-year track record of winning strategies and winning cases, Gresham | Savage is the widely recognized leader for business, litigation, employment, real estate, environmental and land use law in Inland Southern California, San Diego and Los Angeles.  The firm’s many attorneys, practicing in offices in San Bernardino, Riverside, San Diego and Los Angeles counties, provide wise counsel to local, regional and Fortune 500 companies.

Bradley Neufeld is a shareholder and co-chair of the Labor and Employment Law Practice Group at Gresham | Savage.  His practice focuses on the representation of management in all aspects of employment law.  Mr. Neufeld provides timely advice to clients on all aspects of personnel management, including employee termination, discipline and grievance matters, employee handbooks, employment contracts, personnel policies such as sexual harassment and drug and alcohol testing, and compliance with the many constantly changing state and federal employment laws.  His expertise extends to collective bargaining laws, the Family Leave Act, the Americans with Disabilities Act, the Fair Labor Standards Act and many other laws which affect California employers.

We look forward to working with you!

 

Bradley E. Neufeld

Gresham Savage Nolan & Tilden, PC

3750 University Avenue, Suite 250

Riverside, CA  92501

(951) 684-2171

Bradley.Neufeld@greshamsavage.com

http://www.greshamsavage.com/attorneys-30.html

Get Great Professional Pictures from Michelle Smith Photography!

Are you in need of a great professional picture for your website, business card, or other promotional items for your business?  Please contact our friend at Michelle Smith Photography if you are.  She is incredibly talented and professional.  To see more of her work, visit our website and go to the “about” tab, and on the drop down menu, click on “our team”.

 Michelle Smith Photography

   909-649-1635

   michellesmithphotography.com

Michelle Smith Michelle Smith

Michelle Smith Michelle Smith

“Are you Looking for Something Different?â€

What kind of Executive Portrait do you want?  At Michelle Smith Photography we specialize in making individuals feel comfortable while being photographed for their professional Executive Portrait.  This will reflect who you really are in your expression and will be enhanced for that wow factor.

Please contact us if you are ready for an update or just want to have a good time taking your new Executive Portrait.

 

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