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Announcements


Beginning February 15, 2021 and through May 15, 2021, the Federal Marketplace will allow consumers to submit a new application or update an existing application for health insurance.


In accordance with the Executive Order issued on January 28, 2021, President Biden announced a Special Enrollment Period (SEP) for individuals and families for Marketplace coverage in response to the COVID-19 Public Health Emergency. This SEP will allow individuals and families in 36 states using the Federal Marketplace served by the HealthCare.gov platform, including Indiana and Florida, to enroll in 2021 health insurance coverage. Illinois and Michigan operate a partnership exchange with the federal government, so use the federal platform.


State-based Marketplaces (SBMs) operating their own platform, such as Colorado, have the opportunity to take similar action within their states.


For more information on Marketplace coverage and enrollment, please contact Diane Kania at

 Diane@LakeshoreHealthInsurance.com




Did You Know?


Did You Know?

The health care law provides 2 ways to hold insurance companies accountable and help keep your costs down: Rate Review and the 80/20 rule.

Rate Review

Rate Review helps protect you from unreasonable rate increases. Insurance companies must now publicly explain any rate increase of 10% or more before raising your premium. This does not apply to grandfathered plans (enrolled prior to March 23, 2010).

80/20 Rule (a.k.a. Medical Loss Ratio)

The 80/20 Rule generally requires insurance companies to spend at least 80% of the money they take in from premiums on health care costs and quality improvement activities. The other 20% can go to administrative, overhead, and marketing costs.

The 80/20 rule is sometimes known as Medical Loss Ratio, or MLR. If an insurance company uses 80 cents out of every premium dollar to pay for your medical claims and activities that improve the quality of care, the company has a Medical Loss Ratio of 80%.

Insurance companies selling to large groups (usually more than 50 employees) must spend at least 85% of premiums on care and quality improvement.

If your insurance company doesn’t meet these requirements, you’ll get a rebate on part of the premium that you paid.

For more information, go to https://www.healthcare.gov/health-care-law-protections/rate-review/