Insurance 4 Life NC

• In general, a Special Enrollment Period (SEP) may be available for other reasons, such as:
• Loss of qualifying health coverage
• Change in household size
• Change in primary place of living that results in access to new qualified health plans
• Change in household size
• Change in eligibility for Marketplace coverage or help paying for coverage

In most cases, consumers have 60 days from the date of the qualifying event to enroll in coverage. If the consumer is enrolling in Marketplace coverage for the first time, he or she may need to submit documents to prove SEP eligibility. Consumers who are members of a federally recognized Indian tribe or Alaska Native Claims Settlement Act Corporation shareholders can sign up for or change plans once per month throughout the year.

* An example for a single person with a FPL between 100% -150% would be $14,580 to $21,870.

NOTE: Marketplace enrollees who experience a change in household income throughout the year should report this change to the Marketplace as soon as possible, as it may affect the amount of financial assistance for which they may be eligible.

The Affordable Care Act (Obamacare) is set up and administered through the Federal Marketplace and the insurance portion is implemented by insurance companies such as Blue Cross and Blue Shield. There may be several insurance companies that operate in each state.  There are no health questions and pre-existing conditions are covered from day one!

 Your particular health PLAN and PREMIUM will vary by the following factors:

• Zip code where you live 
• Age
• Marital Status
• Number of Dependents on your tax return
• Projected Modified Adjusted Gross household income for the plan year**

Here are some quick sample scenarios:

• 30 yr old, $19,000 annual income, single, no dependents, living in Wilmington NC. They would qualify for a $0 premium plan with a $0 deductible with an annual maximum out-of-pocket expense (MOOP) of $700. 
• That same person with a $25,000 income would qualify for a $0 premium plan with a $750 deductible and an annual MOOP of $2,850.
• Increase his/her income to $30,000 and they would qualify for a $47 premium plan with a $2,500 deductible and an annual MOOP of $8,550. 
• Furthermore, if you were to change the income, add dependents or change the area, the premiums and the plans will vary greatly. 

For a FREE accurate quote of what YOUR particular plan and YOUR particular premium, call us at (910) 775-0700 and we will be happy to discuss your personal situation. 

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**Modified Adjusted Gross Income- One common example would be if you are an independent contractor or own a business, you would reduce your gross income by your business expenses.  Here’s a complete list of what to include and what to exclude to arrive at your Modified Adjusted Gross Income.