Affordable Care Act Offers Options to Domestic Partners

According to the Pittsburgh Post-Gazette, Allegheny County notified employees about the discontinuation of domestic partner benefits via email. Eileen’s partner (a County employee accessing domestic partner benefits) did not receive this notification. I don’t know what the notice said or how it was worded, but I do hope one element was included – information on the Affordable Care Act (ACA) as an option for people who would be losing their insurance.

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For anyone who loses benefits because of a change in their employer’s policies (or the employer of their partner/spouse), the ACA does accept applications outside of “open enrollment.” This is considered a life event just like losing your job or getting married/divorced or having a baby. You can visit the Healthcare.gov site and complete the process online to determine what insurance options are available to you.

It is complicated so I highly recommend contacting the Pennsylvania Health Access Network (PHAN) before you start the process and they can walk you through it. PHAN is aware of the situation with the potential termination of benefits and they are LGBTQ friendly. The number to call is  412-512-9225. That will connect you with Erin Gill Ninehouser who is very experienced with the ACA application process and an ally.

People can apply any day in the month that they will lose coverage and still have it in place the first day of the next month — but, it’s best not to wait until the last week of the month, so you have time to make your payment before the coverage effective date. It takes up to 3 days for the insurer you choose through the Marketplace to receive and process your information from healthcare.gov.

All of this is very important information for employers to offer in situations like this – perhaps not the PHAN referral, but at the very least some information on the ACA and a general indication of the time frame. One of the important pieces of the ACA is providing affordable health insurance options in these scenarios when existing benefits are lost for some reason. Providing this information to employees facing a loss in coverage is constructive to remind them that they can get comparable, affordable coverage without a lapse in coverage.

I’ve been in a situation of losing my job unexpectedly and I know that it can be paralyzing. It is, however, precisely the time when you need to take action to address issues like health insurance within strict time frames. Having access to PHAN to help you avoid common pitfalls and delays can be invaluable. You can’t afford to wait because there are very real constraints

  • the period of time for the Marketplace to process your paperwork/payments
  • researching the options
  • finding new providers or updating your information with current providers
  • allowing for things like holidays (4th of July) and unexpected snafu’s like your ISP going down

Now, it is likely going to be more expensive because municipal employers tend to have good packages negotiated at group rates, but that doesn’t mean it will be cost prohibitive. And in some cases, people have accessed less expensive plans. You won’t know until you dive in (with PHAN) to explore the options available to your family.

Obamacare
Thank God Obama Cares!

The other good news is that Open Enrollment begins in November so if you aren’t satisfied with your original choice, you’ll be able to adjust your choices.

If you are one of the couples working for the County who may have benefits terminated on August 1, please contact PHAN today to make sure your Plan B is in place.

On a related note, this caught my eye (finally) yesterday. From the PG:

Employees who currently receive those benefits have until July 31 to present the county with a marriage license, she said. Benefits will terminate Aug. 1 for those without proof of marriage.

So how could this actually work? If we walked into the Personnel Office at 3:45 PM on Thursday, July 31 with a valid marriage license, we’d be meeting the deadline. How would the County notify the provider in an hour? Or what if we walked in at 4:50  PM before they closed? I’m curious if this is actually the case. It makes more sense to have a  deadline with a few days for internal documentation reasons – say August 15 deadline with benefits to cease on September 1. Am I crazy for thinking that seems unrealistic? I’m unsure how this could even be a feasible timeframe.

There’s also the issue of notification. Eileen’s partner says she didn’t receive the email. So what would be the appeal process – say she didn’t happen to see the story on the news? She has a union steward to intervene, but what about non-unionized employees? Would the unions find this notification process acceptable and consistent with their contracts?

There is no cost savings to the County to remove 11 people from their plans – they have a group rate and 11 people is a very small percentage of the total covered. So it isn’t about money. It clearly isn’t about equality because this reinforces the remaining inequality re statewide non-discrimination. This situation is a distraction from the fight for equality and from the value a diverse workforce brings to the municipal employers.

Overall, I’d say this policy change as its been presented through the media was not thought out very well. There are many loose threads and the looming question of “why” this started in the first place. But we do know that the City of Pittsburgh and Philadelphia City/County are both reviewing policies. It is unknown at this point what other municipal employers – school districts, townships, etc – are doing. And I personally think it could set a domino effect into motion – sort of the reverse of what we’ve seen with marriage equality, right?

That’s one reason the petition I launched on MoveOn.org is aimed at all municipalities. This is not a precedent we want to see in place because it prevents us from focusing on passage of HB 300.  That will hurt everyone and every local economy.

That being said, once we have statewide non-discrimination, it is reassuring to know that the Affordable Care Act provides all of us with health insurance options. Employers may need to update their discontinuation procedures to ensure their employees and their families have access to at least the basic information.

 

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  • Sue, this is an excellent addition to the posts coving this issue and glad to see it posted. I wrote on June 26th that the ACA provided a avenue so that a person would not be left without coverage and glad to see that I had that right. Really appreciate how you are using your blog here to spread valuable information.

    http://thomascwaters.com/2014/06/26/domestic-partnerships-allegheny-county/

    You and I agree that the way Allegheny County has done this seems problematic. The “new” info about an email announcement is interesting and highlights something many of us already know- that email is easy to miss. That said, I hope more investigation will shine a light on how all of this transpired and what the timeline was.

    I really had it in my head that I had written a blog post about how the ACA was possibly the most important piece of LGBTQ friendly legislation ever passed, but I can’t seem to locate it. Maybe I’m more senile that I think I am.

    The ACA may be a piece of legislation that many chose not to care much about. People who already had coverage could look at this huge thing and because of the level of misinformation that was out there, chose to turn a blind eye, when in reality, it was and is one of the most significant developments of the Obama administration. It totally changes things in a big way, even if some of those changes are not apparent at first and even if some are still controversial and “under siege.”

    This situation coupled with yesterday’s Hobby Lobby ruling accentuate why it is crucial for everyone to be engaged in the political process and a part of the battle FOR real and good progressive changes like the ACA. The battle is far from over for the ACA as well as for LGBTQ issues, and we need everyone on board.

    • I also think it is crucial that LGBTQ organizations stop using the phrase “special benefits” or “special rights” – that’s not the least bit helpful. It is also inaccurate and unfair. We have enough people accusing us of seeking something extraordinary – we don’t need to do that to ourselves.

    • I also hope we can move through this, find a resolution that’s equitable and begin working on reforming health care. We need the County and City to be examining trans inclusive health insurance and talking about the myriad of needs being documented by the Allegheny County LGBTQ Liaison in the Department of Human Services.

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