Another Obamacare deadline was pushed back on Thursday and now the
White House is asking insurers to accept late payments and still give
individuals coverage in the interim.
The Department of Health and Human Services extended the deadline for
individuals who want to be covered on the first of the year to Dec. 31
from Dec. 23.
HHS is asking insurers to accept payments through this extended date
and give consumers additional time to pay their first month’s premium
while still offering coverage starting on Jan. 1
The department also said more deadlines could be bended later and it
is “considering moving the deadline to a later date should exceptional
circumstances pose barriers to consumers enrolling on or before December
23.”
Under the ACA every individual in the country must have insurance by
the end of open enrollment period, on April 1, 2014, or they will face a
fine of $95 a year, or 1% of their annual income for failing to comply
with the law.
The announcement comes a day after the administration announced
364,682 Americans had selected an insurance plan on the marketplaces
since Oct.1. far below initial enrollment forecasts. The number
includes people who may or may not had yet paid their monthly premium.
It’s standard practice in the insurance industry to only consider a
person as covered once he or she has paid the first month’s premium.
Of the total amount of enrollees, 227,478 had enrolled via the 16
state-based marketplaces and 137,204 on the federal exchange on
Healthcare.gov, which serves 36 states. The figures were far off base
from the 3.3 million the administration projected in September it would
have enrolled by the end of December.
The Obama Administration also originally aimed to have seven million
people enrolled in year one of the ACA, 2.7 million being young and
healthy policyholders that are needed to keep premium costs down.
Yevgeniy Feyman, Manhattan Institute scholar, says that while the
pushback is not shocking, it could be risky for both consumers and
insurance companies.
“The administration needs this [law] to work, so they want to give it
as much time as humanly possible,” he says. “Whether that means people
have coverage or not, is something else. If someone goes on the exchange
on Dec. 31 and signs up for coverage at 11 p.m., I find it hard to
believe that on Jan. 1 they will have coverage.”
Under the ACA, the enrollment requirements had previously been that individuals had to enroll in a plan by the 15th of a month in order to have coverage kick in by the 1st of the next month.
The latest pushback also comes after a glitch that was confirmed last
week by CMS, that the back-end mechanism that allows the government to
pay insurers for subsidized and cost-sharing plans had not yet been
built. Insurance companies will have to bill the government for these
premium tax credits, and the government has announced it will act in a
timely manner.
Feyman doesn’t rule out another delay in the future, and that this
latest postponement undoubtedly puts insurance companies in a precarious
position.
“This screws insurers,” he says. “I don’t know any insurer that can get coverage ready to go in one day.”
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