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6 Topics to Consider Outside Open Enrollment

Friday, March 16th, 2018

Whether you are enrolled in Medicare, Health Insurance, or are uninsured, there are some concepts, rules and requirements to consider outside the Annual Enrollment Periods.  Here is a list of a few basics to consider about insurance despite currently being outside the heavily publicized Open Enrollment Periods.

  1. 1095 Tax Forms– As most are filing taxes this time of year, don’t forget the IRS may require you to show proof of health insurance. The 1095 tax forms serve as proof of health insurance coverage.  These 1095 forms can be provided by the Health Insurance Marketplace or by a private insurance carrier, depending on how you are enrolled.  We recommend consulting a Certified Public Accountant for more information on about the need for these forms.
  2. Short Term Health Insurance– If you are currently uninsured and have not recently experienced a Qualifying Event that would allow you to enroll in a qualified health insurance plan, a short term health plan may be an option. Short term plans do not comply with the Affordable Care Act regulations which allows shoppers to enroll in these plan outside the Open Enrollment Period.  You could qualify for coverage to begin as early as the next day.
  3. Medicare Supplements “Blue to Blue”– If you are an existing Blue Cross of NC Medicare Supplement member, you are currently able to make a change to your Medicare Supplement plan during the month of May to take effect on June 1st. See rates for alternative Medicare Supplement plans here.  The capability to change plans during this time frame is through the Blue to Blue program.
  4. Dental Insurance– Don’t forget your smile! Dental insurance plans can be enrolled in anytime throughout the course of the year.  These plans are not regulated like health insurance plans by separate enrollment periods.  Learn More about BCBSNC Dental Insurance
  5. Qualifying Life Events– If you have experienced a Qualifying Life Event, this could allow you to make a change to your health plan or enroll in a new plan. Get a Blue Cross Quote to see whether any of the Qualifying Events apply to you.
  6. Report Income Changes to the Marketplace– If you are enrolled in a health insurance plan through the Health Insurance Marketplace and you have experienced an income change, it’s important to report this change to the Marketplace. Income changes can impact health insurance plan rates and coverage.

For more information on North Carolina insurance coverage, please visit our website at or call our toll free number 888-765-5400 and speak with one of our experienced and professional agents.


Tuesday, October 1st, 2013

WHAT INCOME IS USED TO DETERMINE MY SUBSIDY when applying for my Blue Cross Blue Shield of North Carolina coverage?

The total of your gross adjusted income and tax-exempt interest income.  Found on Lines 8b and 37 of IRS Form 1040. The income used will be based on your 2012 year (filed in 2013) and will be adjusted based on your expectations for 2014.  Subsidy amounts will be reconciled in 2015 based on actual 2014 income and tax returns for that year.

Guaranteed issue when you apply today for your coverage to begin on January 1, 2014.

For more information on health insurance coverage in North Carolina, please visit our website at or call our toll free number 888-765-5400 and speak with one of our professional agents. Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina (BCBSNC). Call us for details.

Maternity Coverage for Individual BCBSNC Policies

Friday, September 16th, 2011

BCBSNC offers an optional maternity rider to females (policy holder or spouse) ages 18 and over who are NOT pregnant when they apply for coverage unless their most recent creditable coverage was underwritten by BCBSNC and included maternity coverage. If you elect not to purchase the maternity rider when you first apply, you can add at the following times so long as you are not pregnant at the time:

1. During the annual renewal period (November for a January 1 effective date) as long as the policy has been in effect for at least 6 months

2. Within 30 days following marriage (requires copy of marriage certificate)