Good News and Bad News from Covered California

Privacy, Storefront and Backlog Issues Plague Enrollments

Backlog of Enrollment forms for Covered CaliforniaAs the January deadline for enrollment in the Obamacare marketplace nears, states are experiencing surges in applications. Almost a quarter of a million applications were completed in early December in California for Affordable Care Act compliance, compared to just over 400,000 in the two months since the market opened. Representatives from Covered California, the state’s health exchange, are reporting that they are on track to meet the 2013 enrollment target since the state didn’t experience the low enrollment rates and abandonments suffered by other states with the Federal website’s glitches. Not everything is on track for Californians and Obamacare, though. Some troubling issues include privacy of information, storefronts for enrollment promotions, and backlogs from paper applications.

Affordable Care Act Enrollments Rolling In

Although enrollments in California have been surging in December, there are some problems with the state’s enrollments. Latino enrollment is low and disproportionate to the state’s Latino population, with 29 percent of Californians Spanish-speaking but just under five percent enrolled. Another enrollment concern is the more than 50 percent of 45 to 64 year old enrollees, who are only 25 percent of the population. One group that is proportionately enrolled is the 18 to 34 year olds, who make up 25 percent of California’s population. Twenty-two percent in this age range are enrolled.

Privacy Issues

The state’s health exchange has given out applicant name and contact information to insurance agents without their knowledge or consent, creating privacy concerns. In an attempt to help people enroll in time, state officials have committed a potential privacy controversy by releasing information this way, causing concern among consumers and the insurance agents who would like to contact them but don’t want to intrude on privacy if they haven’t opted in to have their contact information given out. The names in question are from consumers who started applications but didn’t complete them. No social security or income information was released, and Covered California executive director Peter Lee affirms that they are complying with privacy laws and the outreach program was reviewed for legality.

Lee assures consumers that the program is for consumer assistance, not marketing or any other purposes, and says with the new year getting closer and closer, Covered California is trying to help people get enrolled and avoid problems.

Storefront Insurance Enrollments

Looming Affordable Care Act enrollment deadlines have spurred insurers, agents, and California officials to open stores in retail locations to help people sign up for Obamacare. Observers are worried about this type of dramatic change in healthcare, which is a big switch from insurers’ historical focus on employers and large workforce groups to individual policies. Although open enrollment lasts until March 31, government-run marketplaces are pushing to enroll people by December 23. Storefront locations enable people to talk to someone face to face and get human assistance rather than try to figure out an online enrollment themselves.

Consumer advocates worry that the storefront sales may create a focus on policies more favorable to agents than to consumers and limit choices, but State Senator Holly Mitchell thinks the storefronts are a good way to extend the reach to those who don’t have online access or experience and complete as many enrollments as possible in the slipping deadline period.

Backlogs

Even though enrollments appear to be increasing and on track, California is experiencing some backlogs with paper enrollments. Incomplete paper enrollments that have languished since the beginning of October still need to be processed to prevent leaving consumers without coverage. Covered California is adding processors to handle incomplete applications, but needs thousands of processors to complete the estimated 25,000 incomplete paper applications.

Contact PAYDAY today to speak with a Covered California certified agent.

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About the Author:

As Director of Operations, Jessica oversees the day-to-day operations for payroll, human resources, tax, finance and client affairs. She also plays an active role in formulating corporate strategy and developing client programs.

Jessica believes a company’s success begins with its people. She strives to build a team encompassing excellence and professionalism, and to play a large role in developing the staff on an ongoing basis. Her passion for strong client relationships drives her in ensuring that clients receive the highest level of personal service and the best products in the industry.

Jessica joined PAYDAY in 2004, and quickly advanced to Development Coordinator in 2006, when she took charge of Human Resources. She was promoted to Director of Operations in September, 2011.

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