Individual Health Coverage
Accord Insurance Group understands the importance of securing reliable health coverage tailored to your unique needs. Our individual health coverage plans across the United States, offer comprehensive protection, ensuring you and your loved ones have access to quality healthcare when you need it most.
For MARKETPLACE HEALTH ACA Individual Medical quotes & to enroll online
For TARO HEALTH ACA Individual Medical quotes & enroll online for Oklahoma:
For DELTA of OKLAHOMA Individual DENTAL quotes & enroll online:
For AETNA Individual Dental, Vision and Hearing quotes & enroll online:
For AMERITAS Individual DENTAL quotes & enroll online:
What is Family Glitch Fix?
- The "family glitch" refers to the IRS's 2013 interpretation of the firewall provision that based the affordability of a plan on the cost of employee-only coverage, rather than the cost for family coverage. In other words, this interpretation did not consider the additional premium costs for family-based coverage.
- An estimated 5 million people, primarily low-income families were affected by the family glitch. The 2013 interpretation was heavily criticized by a broad range of shareholders.
- The IRS' new rule revises the 2013 interpretation and eliminates the family glitch by basing the affordability test for employee's family members on the premium cost for family coverage, rather than employee-only coverage. This change will allow millions of family members, primarily low-income women and children to receive federal financial assistance toward the cost of premiums and deductibles.
What are the advantages of Family Fix?
Consumers affected by the family glitch could be spending on average 15.8% of their income on their employer-based coverage according to one study by contrast, the ACA affordability threshold for employer coverage established through the fix in 2023 is 9.12% of income-an individual spending more than 9.12% of their income in premium contributions for their employer coverage is considered to have unaffordable coverage and is eligible for Marketplace subsidies with the family glitch fixed, many individuals and families have the option to buy health coverage through the Marketplace and are eligible for subsidies that they couldn't access before to help pay their monthly plan premiums.
How does Family Fix work?
Under new federal regulations published this fall, the worker's required premium contributions for self-only coverage and for family coverage will be compared to the affordability threshold of 9.12% of household income. If the cost of self-only coverage is affordable, but the cost for family coverage is not, the worker will not be eligible for Marketplace financial assistance, but their family members can apply for this assistance.
An employer's plan is not "affordable," as defined under the ACA, if the employee must contribute more than about 9.5 percent of household income towards premiums. If an employer's plan is not "affordable," an employee may qualify for premium tax credits through the marketplace, and the employer may face penalties under the employer mandate individuals determined eligible for Marketplace premium tax credits can also apply for cost sharing reductions if they enroll in a Silver plan and generally have a household income between 100 and 250 percent of the poverty level.
Benefits to the Employer
- No change on the impact for the employer shared responsibility payment
- Provides flexibility to their employees to select the best plan for their family needs
- Reduces the employer monthly premiums for employees and/or dependents who choose Split or Full Marketplace Coverage
Benefits to the Employee and Dependents
- Entire family offered flexibility in choosing plans to suit needs
- Split Coverage
- Marketplace Coverage Only
- Employer Coverage Only
- 'Affordability on the total cost for family coverage
- Premiums can be lowered by using APTC (Applied Premium Credit) and/or CSR (Cost Saving Reductions) if eligible through the Marketplace
- May be eligible for a 60-day SEP (Special Enrollment Period) if the employer sponsored coverage changes outside of OE (Open Enrollment)
Coverage Options
Coverage Split
Marketplace and Employer
- The employee could enroll in the affordable employer coverage, while their family members enroll in a Marketplace plan with APTC (applied premium tax credit) and CSRs (cost sharing reductions), if otherwise eligible.
Marketplace Coverage Only
- The employee could decline the affordable employer coverage and the whole family could enroll in a Marketplace plan
- The family will page full price for the employee's portion of the Marketplace plan premium, while the other gamily members' portion would be lowered by using APTC and/or CSRs if they are otherwise eligible.
Employer Coverage Only
The whole family could enroll in the employee's offer of employer-sponsored coverage. While someone is enrolled in employer coverage, they are not eligible for the APTC or CSRs for a Marketplace plan.
WANT TO FIND OUT IF YOU CAN SAVE $$ ON HEALTH PREMIUMS
Accord Insurance Group | Fast, Easy ACA Enrollment (healthsherpa.com)
CALCULATOR for Family Glitch Fix - scan this QR Code
Why Choose Accord Insurance Group for Individual Health Coverage?
Tailored Plans
We believe in personalized solutions. Our experienced agents work closely with you to understand your specific health needs and financial situation, crafting individual health coverage plans that align perfectly with your requirements.
Extensive Network
With Accord Insurance Group, you gain access to a vast network of healthcare providers, ensuring you have options when it comes to choosing doctors, specialists, hospitals, and clinics.
Affordable Premiums
We prioritize affordability without compromising on quality. Our individual health coverage plans are designed to fit within your budget, providing you with peace of mind and financial security without breaking the bank.
Comprehensive Coverage
From routine check-ups to emergency care, our plans offer comprehensive coverage for a wide range of medical services, including hospitalization, prescription drugs, diagnostic tests, and preventive care.
Exceptional Customer Service
At Accord Insurance Group, we value our clients' satisfaction above all else. Our dedicated team is here to support you every step of the way, providing prompt assistance, answering your questions, and ensuring a seamless insurance experience.
Benefits of Individual Health Coverage
- Financial Protection: Shield yourself and your family from the high costs of medical treatment and unexpected healthcare expenses.
- Peace of Mind: Enjoy peace of mind knowing you're covered in case of illness, injury, or medical emergencies.
- Customized Solutions: Tailor your health coverage plan to meet your specific needs, ensuring you receive the care you deserve.
- Flexible Options: Choose from a variety of plans and options to find the one that best suits your lifestyle and budget.
- Access to Quality Care: Gain access to top-tier healthcare providers and facilities, ensuring you receive the best possible care when you need it.
Accord Insurance Group is committed to helping individuals Licensed in Yukon, OK and in over 35 states, find the perfect individual health coverage plan that meets their needs and budget.
Contact us today to learn more about our comprehensive insurance solutions and how we can safeguard your health and financial well-being.