The reason Texas State Financial & Health is pulling out of the individual health insurance market.

The reason Texas State Financial & Health is pulling out of the individual health insurance market.

TSFH-San-Antonio-Express-News
Justin Holland
of Texas State Financial and Health and some local clients visited with the health care reporter Peggy O’Hare of the San Antonio Express news business desk. The featured article was posted in the January 11, 2016 Business section of the paper. Texas State Financial & Health is based out of San Antonio, Texas but protects individuals, families, and businesses all over the state. This article re-enforces the reason why the many agents associated with our company will be pulling out of the individual health insurance market and focus on other industries.

We took a risk by investing our time, money, and effort with establishing Texas Sate Financial & Health. We worked very hard to help individuals/families compare along with enrolling into their Health Insurance since 2013 when ObamaCare kicked off its first enrollment.

Texas State Financial & Health will continue to assist our current individual health insurance clients but will not be excepting anymore individual health insurance clients come January 31st 2016.

It has been very difficult to stay out of the politics regarding the Affordable Care Act and we honestly kept from being critical and just worked through the chaos, but if this law is not seriously reformed or possibly repealed then it is going to cause an even larger disruption for the industry and anyone that is needing affordable health insurance coverage. Make sure to visit the article linked below.

SAN ANTONIO EXPRESS NEWS:
Health plans’ narrow networks a struggle for consumers
Credit: pohare@express-news.net

Texas customers who hoped to renew their PPOs in 2016 were in disbelief when they learned that option had been eliminated, said Justin Holland, the owner of locally based Texas State Financial & Health and a member of the San Antonio Association of Health Underwriters.

“Premiums increased, deductibles increased, out-of-pocket maxes increased and almost every single individual health insurance client was affected from the loss of their PPO or the fact that doctors will not accept ACA-compliant EPOs or HMOs,” Holland said of his customers in an email. “We have been assisting lower-income, middle-class and wealthy clients with their health insurance, and no one is happy.”

During a recent stop in San Antonio, federal Health and Human Services Secretary Sylvia Burwell said the changes in the Texas market are happening partly because insurers have seen a “reduction in demand” for PPO health plans. Holland disputed that, calling Burwell’s remarks “unbelievable.”

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Big changes for the 2016 open enrollment

Big changes for the 2016 open enrollment

TSFH-San-Antonio-Express-NewsJustin Holland of Texas State Financial and Health visited with the health care reporter at the business desk Peggy O’Hare of the San Antonio Express news. The featured article was posted in yesterday Business section of the Sunday paper for November 1st 2015. Justin is a member of the San Antonio Association of Health Underwriters which has been a sound and solid resource for many leading agents and brokerages in the South Texas area with staying connected to the constant changes the industry encounters. Our brokerage is based out of San Antonio, Texas but protects individuals, families, and businesses all over the state.

Make sure to visit the article linked below.

SAN ANTONIO EXPRESS NEWS:
PPO plans drastically reduced in HealthCare.gov’s 2016 lineup

Credit: pohare@express-news.net

“This is going to be a shocker for people,” said local broker Justin Holland, owner of Texas State Financial & Health. “Very rarely do they want an HMO … We’re just going to have to really dig down and look at the doctors in the network.”

The EPO and HMO plans greatly outnumber the PPOs available on HealthCare.gov. Bexar County consumers can choose from 40 EPOs and 34 HMOs.

An EPO uses a narrow network of health care providers and won’t cover care given by doctors or hospitals outside of the network unless it’s an emergency. Unlike an HMO, an EPO usually doesn’t require a patient to choose a primary care provider or to get a referral to see a specialist.

 

San Antonio Express News reaches out to Texas State Financial & Health for comment

San Antonio Express News reaches out to Texas State Financial & Health for comment

TSFH-San-Antonio-Express-NewsPresident of Texas State Financial and Health Justin Holland was contacted by Peggy O’Hare which is the health care reporter at the business desk of the San Antonio Express news. Justin is a member of the San Antonio Association of Health Underwriters which has been a sound and solid resource for many leading agents and brokerages in the South Texas area with staying connected to the constant changes the industry encounters. Our brokerage is based out of San Antonio, Texas but protects individuals, families, and businesses all over the state.

Make sure to visit the article linked below.

SAN ANTONIO EXPRESS NEWS:
Experts: New ACA tax will scale back employee health benefits

Credit: pohare@express-news.net

“We really need to see some action from our legislators quickly before this tax damages and discourages those employers that continue to grow and build the economy,” local insurance broker Justin Holland, owner of Texas State Financial & Health, said in an email to the San Antonio Express-News. “The middle class worker that depends on these benefits could see them diminish.”

Employers will have to determine every month if any of their workers’ health coverage costs exceed the established limits. If so, the business will be required to alert the IRS and their coverage provider so the tax can be paid.

Texas State Financial & Health quoted again by San Antonio Express News

Texas State Financial & Health quoted again by San Antonio Express News

TSFH-San-Antonio-Express-NewsPresident of Texas State Financial and Health Justin Holland was contacted by Peggy O’Hare which is the health care reporter at the business desk of the San Antonio Express news. Justin is a member of the San Antonio Association of Health Underwriters which has been a sound and solid resource for many leading agents and brokerages in the South Texas area with staying connected to the constant changes the industry encounters. Our brokerage is based out of San Antonio, Texas but protects individuals, families, and businesses all over the state.

Make sure to visit the article linked below.

SAN ANTONIO EXPRESS NEWS:
Report:Pricier health plans more popular off ACA exchanges

Credit: pohare@express-news.net
For consumers who use their health insurance frequently, the more expensive gold and platinum plans can offer a better value.
“If a client is ill or they’ve got a family member who has a prolonged illness or has some medical problems, that’s where we really dig in and put a pencil to the gold and platinum plans that are available,” said independent insurance agent Justin Holland, founder and owner of Texas State Financial & Health, a San Antonio firm. “They know that they’ll meet their out-of-pocket maximum very quickly.”
Both Camp and Holland are members of the San Antonio Association of Health Underwriters, a group of licensed independent health insurance agents, brokers and benefits consultants.
Platinum plans — which provide the greatest protection available to consumers, but cost more to purchase — generally cover 90 percent of the average person’s medical costs. Gold plans cover around 80 percent of those costs on average.
Silver plans cover around 70 percent of the average person’s medical costs. Bronze plans — the least expensive tier of health insurance — cover 60 percent.
Insurers anticipated mid-priced silver plans would prove most popular both on and off the government exchanges. But they predicted only 37 percent of consumers buying health insurance outside of those exchanges would select silver plans, compared to 58 percent of customers shopping in government-run markets.
Holland said the reason for silver plans’ popularity on the exchanges is simple. Lower-income consumers who also qualify for the cost-sharing reduction benefit — which limits how much they pay out of pocket for deductibles, copays and other expenses — are required to select silver plans to receive that discount.

 

Texas State Financial & Health quoted again by USA TODAY

Texas State Financial & Health quoted again by USA TODAY

tsfh-usa-today

The U.S. Department of Health & Human Services released a report earlier this morning about Competition and choice in the Health Insurance Lowered Premiums in 2015.

President of Texas State Financial and Health Justin Holland is a member of the San Antonio Association of Health Underwriters which has been a sound and solid resource for many leading agents and brokerages in the South Texas area with staying connected of the constant changes the industry encounters. Our brokerage is based out of San Antonio, Texas but protects individuals, families, and businesses all over the state. Mr. Holland was contacted again by national media outlet USA TODAY to comment on the breaking news of todays report.

Make sure to visit the article linked below.

USA TODAY:
Report: Competition on ACA federal exchange rose between 2014 and 2015

Premium growth and competition vary from one location to the next, however, and Justin Holland, an insurance agent in San Antonio, says he hasn’t seen much competition and doesn’t expect to see much during the next open enrollment starting in the fall.

“We service clients from all over the state of Texas, and I can tell you that there are a handful of counties that we are limited to just a few carriers with high premiums for plans that offer co-pays and lower deductibles,” says Holland, of Texas State Financial & Health, members of the San Antonio Association of Health Underwriters.

He says looming insurance mergers also don’t bode well for competition. Anthem recently announced a $54 billion deal to acquire Cigna, and Aetna announced an agreement to acquire Humana for $37 billion.

“That’s shrinking the carriers,” Holland says. “That’s not good for the consumer right off the bat.”

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