Tips on Reporting Self-employment Income to the WA Exchange

Are you self-employed? It is best practice to estimate your self-employment income and expenses for the year based on past earned income, expenses, industry standards and other information. If you filed a federal tax return last year, you could use the Adjusted Gross Income you reported, deduct self-employment expenses, then add or subtract based on how you think your income may change for the current year. 

As always, if you have any questions, do not hesitate to give us a call at 206-258-6820. We are always here for you with free assistance.  

If you are trying to report self-employment income based on prior year taxes:

Adjusted Gross Income – Expenses from Prior Year +/- Anticipated Changes = Current Year Self Employment Income

You should update your estimated annual net income when your business circumstances change. If your earnings are lower, you may be eligible for higher tax credits and Cost Sharing reductions. If your earnings are higher than you reported on your Washington Healthplanfinder application, you could have to pay back some or all of the tax credits you took during the year.

You may report that you are self-employed, and may or may not receive a “wage” or pay stub. Only do this if you do not receive a paycheck from your business (income from a corporation is reported as “earned income”.) Additionally, if you receive dividends from your corporation, this would be considered “other” income.

When you are truly self-employed, follow the guidelines below for how income should be reported. You can report all earned income (through your business), collected from your most current tax return, profit and loss statements, or other income ledgers. Individuals should report their net income, taking into account any allowable business expenses (sometimes called “profit”).

  • If self-employment income is higher than business expenses, report as net income

If business expenses are higher than income, report a net loss

California Extends Special-Enrollment Deadline to Give Consumers More Time to Sign Up for Health Care Coverage During COVID-19 Pandemic

Covered California announced on Tuesday that it would be giving consumers more time to sign up for health care coverage during the COVID-19 pandemic by extending the current special-enrollment deadline through the end of July. 
If you would like to enroll, or have any questions about your options, give Core Columbia a call at 619-259-6905.

“Covered California is committed to helping people get access to the health care they need, and while California is reopening parts of the state, there is still a lot of uncertainty out there due to the pandemic,” said Peter V. Lee, executive director of Covered California. “We want to make sure that people have a path to coverage, whether it is through Covered California or Medi-Cal, and giving people more time to sign up is the right thing to do.”

Every year, Covered California provides eligible consumers the opportunity to sign up for health care coverage outside of the traditional open-enrollment period if they experience a qualifying life event. These can include events like losing your health insurance, moving, getting married or having a baby.  

 People who sign up will have access to private health insurance plans with monthly premiums that may be lowered due to federal and new state financial help that became effective in 2020. After selecting a plan, their coverage would begin on the first day of the following month — meaning individuals losing job-based coverage would not face a gap in coverage.

The latest data from California’s Employment Development Department shows that 6.3 million unemployment claims have been processed in the state since the pandemic started.

“We know that when people lose their jobs, they often lose the health care coverage that was protecting them and their families,” Lee said. “While Californians who lose coverage can always sign up outside of open enrollment, we want to make sure even those who have lost work and did not have insurance have access to the health care in the middle of a pandemic.”

Medi-Cal and Off-Exchange Coverage

In addition, consumers who sign up may find out that they are eligible for no-cost or low-cost coverage through Medi-Cal, which they can enroll in online. Those eligible for Medi-Cal can have coverage that is immediately effective.

California has suspended Medi-Cal renewal reviews through the end of the public health emergency, ensuring that those already enrolled can continue their coverage and freeing up resources to quickly process new enrollments. The Department of Health Care Services (DHCS) also received expanded authority to expedite enrollment for seniors and other vulnerable populations, expand the use of telehealth and take other steps to make it easier to access care.

If you would like to enroll, or have any questions about your options, give Core Columbia a call at 619-259-6905.

Washington Health Plan Finder Unemployment Income Reminder and CSR Information

As a reminder, the Federal Pandemic Unemployment is countable income for Qualified health plans with tax credits and is not countable income for Washington Apple Health (Medicaid). If you have any questions or need to update your income, Core Columbia Insurance is always here to provide straightforward, up to date answers to all of your questions – give us a call at 206-258-6820.

Cost Sharing Reduction (CSR) Tiers

Changes to income can change eligibility. Much of the recommended Qualified Health Plan shopping are based on eligibility of Cost-Sharing Reduction (CSR) tier per household members seeking coverage. The CSR tiers drives the system to make recommendations for different “Groups”.

What are Cost Sharing Reduction (CSR) Tiers?

Cost Sharing Reductions (CSR) reduce the copay, deductible, and other out-of-pocket costs for individuals and families that are eligible based on many different factors including eligibility for tax credits. These out-of-pocket savings apply only to silver-level Qualified Health Plans. There are no CSRs for platinum, gold, bronze, or catastrophic health plans, and they are not available for Qualified Dental Plans. American Indian/Alaskan Native (AI/AN) customers may be eligible for CSRs on additional Qualified Health Plan types.

Washington Healthplanfinder Urges Uninsured to Act Fast to Meet Friday, May 8 Deadline

In response to the Coronavirus (COVID-19) pandemic, Washington Health Benefit Exchange (Exchange) today is urging individuals who did not secure health insurance for 2020 to sign up for coverage by 5:30 p.m. on Friday, May 8, the deadline of the limited-time special enrollment period (SEP) through Washington Healthplanfinder for coverage beginning May 1, 2020.“Now is the time to sign up for health coverage if you are currently uninsured,” said Exchange Chief Executive Officer Pam MacEwan, “There are many resources available to help individuals understand their options and secure health coverage before the special enrollment period ends.” Individuals who need help signing up for coverage through Washington Healthplanfinder should contact Core Columbia Insurance at 206-258-6820 as soon as possible to meet the enrollment deadline.

Over 19,500 customers have signed up for coverage since the Exchange announced a special enrollment period in response to the Coronavirus (COVID-19) pandemic. This includes 7,000 uninsured Washington residents who have come in through the COVID-19 special enrollment period, and 12,500 additional customers who have come in through a qualifying life event.

“An unprecedented number of people in our state are losing their employer sponsored health coverage. Those Washingtonians will continue to have free and low-cost coverage options available to them through Washington Healthplanfinder,” said Chief Marketing Officer Michael Marchand. Additional qualifying life events that may open a special enrollment period include:Marriage, birth of a child, or move within the state, Purchased coverage through a health sharing ministry that has received a cease and desist order from the Washington office of Insurance Commissioner for fraudulent activity or Purchased full price coverage outside the Exchange marketplace, who due to a change in income could now benefit from federal subsidies available exclusively through Washington Healthplanfinder. In some cases, individuals may qualify for free or low-cost coverage through Washington Apple Health (Medicaid) that is available year-round.

Coverage You Can Count On
Insurance companies providing coverage through Washington Healthplanfinder have agreed to cover cost sharing related to the testing and treatment of COVID-19.

Contact your health insurance provider directly for more information about:How COVID-19 impacts your coverage, Telehealth, appointments, payment options, grace periods, or other benefits related to COVID-19.

Washington Income Reporting and Your CARES Act Federal Stimulus Payments

In response to the COVID-19 public health crisis, Congress passed the CARES Act which includes a federal stimulus payment. The amount most individuals will receive is a one-time payment of $1200 individual/$2400 joint filer/$500 per child. Core Columbia Insurance is here to answer any questions you may have about how this benefit impacts your eligibility for Healthplanfinder coverage.

The one-time federal stimulus payment (also referred to as the “Recovery Rebate” by the media or “Economic Impact Payment” by the IRS) is not considered income for purposes of Apple Health or APTC/CSR eligibility. At this time, Core Columbia and the Exchange advise clients to not report this as income in their application.

The federal stimulus payment (referred to as the Recovery Rebate or Economic Impact Payment) is not income for purposes of applying for health and dental coverage through Washington Healthplanfinder. You do not need to report any check or payment amount you receive from the federal government in your application.

Core Columbia Insurance is always here for you, working remotely, to provide straightforward, up to date answers to all of your questions – give us a call at 206-258-6820.

Unemployment Compensation, The CARES Act, and Your Eligibility for Marketplace Subsidy in CA and WA

Unemployment Compensation

In the CARES Act, Congress authorized a new federal Pandemic Unemployment Compensation program, which provides an additional $600 in federal benefits per week of weeks of unemployment ending on or before July 31, 2020.

If you had a change in income, you may be eligible or free, or lower cost health insurance. Give Core Columbia Insurance a call in California at 619-259-6905, or in Washington at 206-258-6820. We are always here to provide straight answers, process all necessary changes to your account on your behalf, and ensure you are able to obtain the health coverage you need at the lowest price available.

This type of unemployment income is excluded for purposes of calculating Medicaid eligibility, but included for purposes of determining tax credit eligibility in the Covered California and Washington Health Plan Finder Systems.

  • New and existing clients should not include the additional $600 per week when reporting their unemployment benefit income.
    • This includes households with tax credit enrolled members only.
    • New and existing clients already receiving MediCaid should not report income changes in their application during the COVID-19 emergency.
    • Families who have members on MediCaid, and members receiving tax credits or qualified health plan coverage should continue to report changes in income to see if they qualify for no cost or lower cost care.
  • The Exchanges in CA and WA are working on system updates (planned by end of June) that would allow new and existing clients receiving both tax credits and the additional $600 per week to correctly account for it. More information is forthcoming as additional regulatory options are also explored. Core Columbia Insurance is always here for you, working remotely, to provide straightforward, up to date answers to all of your questions. Give us a call in California at 619-259-6905, or in Washington at 206-258-6820.

Covered California Expanding Special Enrollment Period for 2020 in Response to COVID-19 Emergency

Effective March 20, 2020, anyone uninsured and eligible to enroll in health care coverage through Covered California can sign up through the end of June. The Department of Health Care Services announced new steps to help those eligible for Medi-Cal sign up easily and get immediate coverage.

The moves come amid widespread disruption in the lives and livelihoods of Californians as public health officials seek to reduce the spread of COVID-19. All medically necessary screening and testing for COVID-19 are free of charge, and all health plans available through Medi-Cal and Covered California offer telehealth options. These actions build on increased state subsidies and the implementation of a state penalty, both of which took effect in January 2020.

If you would like to enroll, or have any questions about your options, give Core Columbia a call at 619-259-6905. We are working remotely and ready to take your call.

Washington Announces Special Enrollment Period in Response to Growing Coronavirus Outbreak

If you are a Washington resident who missed the open enrollment deadline, call Core Columbia today at 206-258-6820 to take advantage of the new special enrollment period and get covered.

In response to the potential growth of Coronavirus (COVID-19) cases, the Washington Health Benefit Exchange (Exchange) today announced a limited-time special enrollment period for qualified individuals who are currently without insurance. This special enrollment period (SEP), that runs through April 8, 2020, will allow uninsured individuals 30 days to enroll in health insurance coverage through Washington Healthplanfinder.

The Exchange may re-evaluate the end date of the special enrollment period if the state of emergency remains in effect after April 8, 2020, so be sure to give Core Columbia a call as soon as possible.

We are closely monitoring the growth of cases in WA, the US, and the world. Below are the three main sources Core Columbia relies on for up to date information.

US Centers of Disease Control: http://www.cdc.gov/coronavirus

Washington State Department of Health (DOH): http://www.doh.wa.gov/coronavirus

DOH daily 2p.m. updates: http://www.doh.wa.gov/Emergencies/Coronavirus

California and Washington – Important 2019 Tax Filing Information

California and Washington clients must file 2019 taxes correctly to remain eligible for premium assistance in 2021. Your APTC (advanced premium tax credit) helps you save on your health insurance premiums. To keep your full tax credit, you’ll need two important forms when you file your return this year. If you have any questions on this form, or the process, give Core Columbia a call at 206-258-6820. We are always here for you with free assistance, and straight answers.

Use your 1095-A to file Form 8962 with your tax return. These two forms will determine the amount of your tax credit. If you file a paper return, you can get Form 8962 here. Using these two forms to file your taxes correctly and on time is very important! If you don’t, you may lose your tax credit, resulting in higher premiums. Don’t forget: the filing deadline for your taxes is April 15!

Do not hesitate to give Core Columbia a call at 206-258-6820 if you are missing your 1095-A. We are always here for you, and can quickly provide a copy for you at no charge.

WASHINGTON – Emergency Order Issued in Response to Coronavirus

For clarification on your specific plan, give Core Columbia Insurance a call at 206-258-6820. We are always here to provide straight answers, and to help you gain access to care.

Insurance Commissioner Mike Kreidler issued an emergency order to Washington state health insurers requiring them to waive copays and deductibles for any consumer requiring testing for coronavirus (COVID-19).

Insurers also must:

  • Allow a one-time early refill for prescription drugs
  • Suspend any prior authorization requirement for treatment or testing of COVID-19

In addition, if an insurer does not have enough medical providers in its network to provide testing or treatment for COVID-19, it must allow enrollees to be treated by another provider within a reasonable distance at no additional cost.

The order is effective immediately and applies to all state-regulated health insurance plans and short-term limited duration medical plans until May 4, 2020.