Kathy Garza

The Individual Market of Obamacare

Analyzing the Positives and the Negatives of the Healthcare Law Over the past 6 years since the passage of the Affordable Care Act, many people have found themselves in a state of confusion. This is understandable considering the rapidly evolving nature of the law and its inherent complexities. In this segment, Kathy Garza talks about some of the positive parts of the law, as well as some of the problematic issues that some people find themselves faced with. There are a lot of moving parts with the Affordable Care Act (ACA), and most Americans have an opinion about the...

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A Deeper Dive into Obamacare Penalties

Analyzing the ACA’s Penalties & Their Effect on Employers In this segment, industry expert Kathy Garza talks about hurdles employers face in terms of financial penalization under the ACA, and some of the reasons why employers offer coverage when it is often more expensive to do so than it is to pay the employer mandate penalty for not offering coverage to employees. She shares some of her personal experiences which have shaped her approach to helping employers devise a strategy to mitigate cost through penalization and cost of health insurance, as well as being able to offer employees choice...

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Understanding The Levels of Coverage under Obamacare

A Basic Explanation of the Levels of Coverage under Obamacare The topic of affordability can be confusing with regards to employer-sponsored coverage, as well as affordability “safe harbors.” Applicable Large Employers (ALEs) need to protect themselves from potential penalties for offering coverage deemed unaffordable, including some of the mandated coverage under the ACA. As was discussed in the preceding video blog, ALE’s are required to offer medical insurance coverage to their full-time employees, or face a penalty of $2,160 per employee (with the first 30 being exempt) for the year 2016, with that penalty increasing each year. There is...

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The Obamacare Employer Mandate

Determining Employer Size for the Purpose of the Employer Mandate With regards to the Affordable Care Act (ACA), employer “size” refers to the number of full-time and “full-time-equivalent” employees employed within the company. This is vitally important for a few reasons. In order to determine whether or not your company is required to offer medical insurance, as well as which market segment your company falls into, you must determine employer size. In the world of the Affordable Care Act, size matters. It is universally understood the law includes an “employer mandate” which requires certain employers to offer health insurance...

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Consumers Struggle to Grasp PPO, HMO & HSA Under Obamacare

Understanding Your Plan Choice to Make Smarter Health Plan Decisions The health insurance industry is chock full of acronyms very few consumers actually understand. Too often, consumers are too focused on bottom line costs while not fully understanding network terminology, like PPO, HMO or HSA. This creates another obstacle for health insurance consumers—they don’t understand terminology or have enough information to differentiate plans and networks, so they purchase plans that don’t adequately meet their needs. PPO, HMO, HSA…what does ANY of this actually mean? We all know the law requires us to have health insurance, but too often we,...

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