The Edmond Sun


January 15, 2014

Enrollees for health care sparse

EDMOND — Youthful applicants are not enrolling for health insurance under the Affordable Care Act (ACA) for what is needed to sustain the rates, said Wayne Pettigrew, a senior consultant with Group & Pension Planners Inc.

Pettigrew spoke this week to members of the Edmond Area Chamber of Commerce about the pros and cons of the ACA.

“They’ve had about 23 percent of the people that have enrolled be under the age of 35,” Pettigrew said. “They expected that to be about 54 percent because that’s where most of where the uninsured were at,” he said.

Another problem is that insurance proving coverage are not always receiving the application when individuals enroll at and send the data, Pettigrew said.

“They are called phantom apps, and I think they said the other day that 70 percent of the (applications) are not being received by insurance companies,” Pettigrew said.

The site data security of the website is also problematic, Pettigrew said. This is because was primarily created to capture data instead of enrolling people.

Enrollees can also apply for health insurance by using an insurance agent. The process that will take about 30 days, Pettigrew said.

“I set up a fake name and an old email address and it took me six days to get on back in October,” he said. “I had to shut that email down because I was getting more than 600 emails a day to that email address and they were being forwarded onto my phone.” Most of the emails were solicitations for health care coverage, he said.

 Improvements to the federal health care exchange in December brought 1.1 million more health insurance consumers to the market place, according to the White House.

“More than half a million Americans have enrolled through in the first three weeks of December alone,” Obama said.

This did not include expanding Medicaid coverage and ACA enrollments due to state-based exchanges. Enrollment surged in December with more than 2.1 million people enrolled in a private health insurance plan through the federal and state-based exchange marketplaces.

Health care insurance kicked-in for these enrollees Jan. 1. The White House still calls for a projected 7.1 million enrollees by March 31.

“One thing you’re going to notice is if your employee renewed Jan. 1, all your preventive services are covered at 100 percent,” Pettigrew said. “That’s probably one of the good requirements. You go in for health screenings, those are now covered at 100 percent.”

Employers must offer health insurance coverage after a 60-day waiting period instead of 90 days as had previously been the case.

A plan has to meet minimum value for coverage under the ACA. Many plans that did not meet minimum value had to be scrapped so that adjustments could be made under a new plan.

“It has to pay at least 60 percent of the (health care) cost to be of minimum value,” Pettigrew said.

Text Only
  • Al’s Bicycle Shop receives DEEP rebate check for $730

    On May 9, Michelle Gumaer, Edmond Electric’s energy services manager, presented Henry Holasek, owner of Al’s Bicycle Shop, with a rebate check from Oklahoma Municipal Power Authority’s Demand and Energy Efficiency Program in the amount of $730 for recent lighting improvements at the shop. Tom Willis, OMPA member services energy engineer, also attended the presentation at the shop at 2624 S. Broadway Court in Edmond.

    July 11, 2014

  • THE ASTUTE INVESTOR: FATCA won’t cause the dollar to collapse

    The infamous bank robber Willie Sutton was once asked why he robbed banks. His response was simple, “Because that’s where the money is!” Taking a page from Willie’s play book, Sen. Max Baucus, Rep. Charlie Rangel and Sen. Harry Reid are about to embark on a worldwide search for money.

    July 11, 2014

  • First Fidelity Bank names new office manager

    Lee R. Symcox, president and CEO of First Fidelity Bank, a locally owned full-service community bank, has announced the promotion of Lanier Lee as Banking Officer and Office Manager of the MacArthur location in Oklahoma City.

    July 11, 2014

  • Byrnes Leadership Oklahoma announces 28th class

    Leadership Oklahoma recently announced the members of its 28th class selected from applicants throughout the state.

    July 11, 2014 10 Photos

  • Dentist Edmond dentist offers needed services in Peru

    With the World Cup in full swing, it’s not surprising that travel to South America is on the rise. But for Edmond Dr. Jay Peck, his journey south of the equator took him to Peru instead of Brazil, and for a much different reason — to provide dental services to those in need.

    July 11, 2014 1 Photo

  • ERDA_Troy Wilson_2_BV.jpg Chairman talks workers’ comp

    Changes in the new workers’ compensation commission, aimed at streamlining the process and creating a more worker-focused system, are predicted to save the state about $1.5 million.

    July 11, 2014 1 Photo

  • A federal court is about to answer the question: Whom do you actually work for?

    One of the most fundamental obstacles the American labor movement faces could get torn down in the coming days -- and it's terrifying management, in industries from fast-food to manufacturing.

    July 11, 2014

  • Free retirement seminar planned

    A free Money Matters seminar with Ken Moraif is set for 1-3 p.m. today at Marriot Waterford Hotel, 6300 Waterford Blvd., Oklahoma City.

    July 10, 2014

  • 12 states now have plans for a minimum wage of $9 or more

    Rhode Island last week joined 11 other states that plan to raise their minimum wage to at least $9 over the next several years.

    July 8, 2014

  • Linking Gerontology and Geriatrics Conference set for Sept. 26 at OSU

    Oklahoma State University will present a special fall edition of the annual Linking Geriatrics and Gerontology conference on Sept. 26. The conference will be from 7:30 a.m. to 5:30 p.m. at the Wes Watkins Center in Stillwater. The event is open to the public and lunch will be provided.

    July 7, 2014