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Lakeshore Health INSURANCE Brokers “Mówimy po Polsku”

Like water, life is always moving . . . Be prepared


Open Enrollment for individual health insurance under age 65:

Nov. 1, 2019 - Dec. 15, 2019

Get coverage, make changes and check subsidy eligibility for 2020.

Annual Election Period (AEP)for Medicare recipients:

Oct. 15, 2019 - Dec. 7, 2019

Enroll, make changes or disenroll from Medicare Advantage and/or

Prescription Drug Plans for 2020.

(Note:  Medicare Supplements are not impacted by AEP and can be changed throughout the year.  Underwriting may apply.)

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.

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