<p>Why does the employer want him to stay on the parent plan until 26?</p>
<p>S’s employer actually saves a lot of money not having to pay its share of S’s premiums while he’s under H’s plan as family member. S’s employer has not said one way or another whether it wants S to have own plan or not – S decided he prefers not to pay premiums since H’s employer’s coverage is so good anyway. S does have to shop & get his own coverage after he ages out of H’s plan when he turns 26.</p>
<p>Here’s the law:</p>
<p>The law that applies to all insurance sold in the US:</p>
<p>
</p>
<p>Link: [url=<a href=“http://www.law.cornell.edu/uscode/text/42/300gg-14]42”>42 U.S. Code § 300gg–14 - Extension of dependent coverage | U.S. Code | US Law | LII / Legal Information Institute]42</a> USC § 300gg?14 - Extension of dependent coverage | Title 42 - The Public Health and Welfare | U.S. Code | LII / Legal Information Institute<a href=“Part%20of%20Title%2042,%20Public%20Health%20and%20Welfare”>/url</a></p>
<p>The law that applies to the insurance exchange:</p>
<p>
</p>
<p>Link: [url=<a href=“http://www.law.cornell.edu/uscode/text/26/105]26”>26 U.S. Code § 105 - Amounts received under accident and health plans | U.S. Code | US Law | LII / Legal Information Institute]26</a> USC § 105 - Amounts received under accident and health plans | Title 26 - Internal Revenue Code | U.S. Code | LII / Legal Information Institute<a href=“Part%20of%20Title%2026,%20Internal%20Revenue%20Code”>/url</a></p>
<p>So this is how it works. There is a law that regulates insurance companies and tells them that they have to provide coverage for adult kids until they turn 26.</p>
<p>There is another law that regulates income tax that says basically that it is ok for an employee to receive an untaxed benefit from his employer to pay for his kids coverage up to the tax year that the kid turns 26, any time during the year. </p>
<p>The difference (in terms of policy) is that insurance companies typically operate on monthly cycles, with per-month billing – whereas the IRS reconciles everything on a yearly basis.</p>
<p>You can understand the exchange and subsidy rules better if you keep in mind that all the money is flowing and accounted for via the tax system. So the ACA exchange provisions were written with the understanding that IRS would have the main responsibility for monitoring and implementing the credit/subsidy part.</p>
<p>dstark - best wishes to your D. Hope she continues to feel better. Someone I worked with had brain tumor 10 years ago. He is doing very well, just went to his oldest’s wedding.</p>
<p>
</p>
<p>They were previously oversold because of worry about what Obamacare might look like?</p>
<p>It is now a mandated commodity?</p>
<p>Oldfort, thanks and I like reading about brain tumor survivors. 
I was just in NYC for a few days and I can kick myself for not buying a place in the 90’s. Love Manhattan. My wife and I walked 60 miles through Manhattan during those 3 days. Just loved every area.</p>
<p>The post I wrote a couple of days ago was a downer. This one is going to be an upper. My daughter has been on Keppra, an epilepsy drug and she hss been feeling fatigued and has been suffering from anxiety. She has started the process of switching drugs. She is half way thru the process and she feels fantastic. Back to her old super duper self. She can work again. She can stay out late. Do anything. She is back. She started feeling better a couple of days ago and today…I am just very happy.</p>
<p>Now we will just have to get thru mritis. I think a few people on CC know what I am talking about.</p>
<p>Nobody has to reply to this post. Just wanted to let people know after that downer of a post things are looking much better.</p>
<p>Hopefully, my daughter will never ‘need’ Obamacare.</p>
<p>I’ll share that hope for you, dstark.</p>
<p>Thanks. The same to you, arabrab, and your family.</p>
<p>And everybody else and their families.</p>
<p>I took my two younger kids’ “MaineCare” (Medicaid) cards to their pediatrician’s office today, and asked that the office submit for payment a couple of appointments retroactively for me. The woman looked at the cards and asked, “Are they twins?” “No, why do you ask?” “Because their date of birth is the same on both cards.” Sigh. I cannot tell you how frustrating it has been to deal with the government on all of this! I know, I should be thankful they’re willing to help, but really?? They can’t get the date of birth right??</p>
<p>“I cannot tell you how frustrating it has been to deal with the government on all of this!”</p>
<p>Sounds a lot like what I’ve been dealing with, only the incompetent behemoth in my life is T-Mobile.</p>
<p>MaineLonghorn, it is very difficult.</p>
<p>In order for my daughter to receive SSI, we have to mail in her pay stubs. All $40 every two week pay stubs. The SS office just mails them back after awhile and then tells us they never received them. Plus they have phantom income listed for her. </p>
<p>We have gone to the SS office and it has been a mess. Right now, we haven’t mailed any stubs this year. We will see what happens.</p>
<p>I, for one, want to know what happens so keep us abreast. Sorry, dealing with medicaid is such a pain. </p>
<p>Wait a second…I thought your kids weren’t on medicaid yet? They are?</p>
<p>Stark,</p>
<p>I only saw a mention of a brain tumor on here and I’m not sure what the situation is. My grandmother just turned 97. She is still living in an old folks apartment place with an aid that comes in 2 hours a day. Pretty independent living for a gal her age. She had a brain tumor when she was FORTY. That was over 50 years ago. They took it out and she has some weakness on the one side, but it’s not too noticeable. They operated 50 years ago and she was fine. I find that amazing. With the advances since then, anything is possible! Hope it goes well for whatever is going on with you or your loved one.</p>
<p>So glad hubby has insurance through work. I wonder what will be in store for us upon this year’s upcoming selections. I’m afraid our 4000 family deductible might skyrocket.</p>
<p>ML, BCBS couldn’t process my application when I applied last year because my name kept coming back with an error. The problem? I have an apostrophe in my last name. The freaking computer couldn’t handle the apostrophe. If it had just rejected it when I tried to make an account, it wouldn’t have been a big deal… I just type it without, but nope. It took it and then couldn’t deal with it. I almost lost a scholarship because of it too. Same thing- didn’t recognize that I was the same person with and without the apostrophe. </p>
<p>It’s amazing how technology makes our lives easier and more difficult at the same time. I couldn’t imagine filling out all this health insurance stuff by hand though. I’m currently caught in the middle of a fight between BCBS and my doctor. The doctor’s office submitted my follow-up appointment to BCBS THREE times and BCBS of course is only going to pay for one. I have the proof that they submitted it THREE times- their mistake- but they’re still being a pain. I don’t think I could’ve proven it without BCBS’s online documentation.</p>
<p>dstark, I am so glad to hear good news for your daughter. I hope all continues on that path.</p>
<p>That’s good news, dstark! </p>
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</p>
<p>If oversold, would they have recovered by Aug 2010? From Aug 2010 through present, United Health Group, Atena, S&P rose 145%, 135%, 55%, respectively.</p>
<p>
</p>
<p>That could be the case.</p>
<p>People with money come out ahead. They can invest in helath industry stocks and recoup any premium increase. Probably many times over. Is this so different from what we did to bail out financial firms?</p>
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</p>
<p>Its only because you are being selective in your perspective. Most all stock prices are up after the financial instability of the '07-'09.</p>
<p>Lets take UNH. Its previous high was in December 21, 2007 and it didnt recover that level until April, 2012. In 2008 UNH was down nearly 70%. </p>
<p>By your proposed start point, August 2008 it was still 45% off its highs at the end of '07. </p>
<p><a href=“https://www.google.com/finance?chdnp=1&chdd=1&chds=1&chdv=1&chvs=maximized&chdeh=0&chfdeh=0&chdet=1381843232260&chddm=484058&chls=IntervalBasedLine&q=NYSE:UNH&ntsp=0&ei=BEFdUpHKK5CmkQOscg[/url]”>https://www.google.com/finance?chdnp=1&chdd=1&chds=1&chdv=1&chvs=maximized&chdeh=0&chfdeh=0&chdet=1381843232260&chddm=484058&chls=IntervalBasedLine&q=NYSE:UNH&ntsp=0&ei=BEFdUpHKK5CmkQOscg</a></p>
<p>THis is supposed to be an easy payday for investors?</p>
<p>Zoosermom, igloo, and njfootballmom, thanks. </p>
<p>I saw this today. </p>
<p>I have never signed up for insurance using the internet.</p>
<p>[LA</a> Times](<a href=“http://touch.latimes.com/#section/-1/article/p2p-77795156/]LA”>http://touch.latimes.com/#section/-1/article/p2p-77795156/)</p>
<p>I agree with most of what you say, but “we as taxpayers” do not pay for the uninsured. We as insurance buyers and hospital users pay for it as the health care providers get stuck with the bill and pass the costs on to us which raises prices overall.</p>