Kick Your Health Benefits into High Gear

December 1, 2022

As open enrollment season kicks into high gear, millions of people will have an opportunity to choose their 2023 health benefits.

Employers’ Healthcare Costs

Employers’ healthcare costs are rising, with large companies forecasting up to an 8 percent increase for 2023. The main difference with previous years will be higher prescription drug costs, which will jump 10 percent, the highest in the past decade.

Many companies will try to limit the share they pass along to their workers, as benefits are seen as a key attraction and retention tool in a tight job market. 

Employees’ Healthcare Costs

For 2022, annual family premiums for employer-sponsored health insurance averaged $22,463, up slightly from $22,221 in 2021, according to the 2022 benchmark KFF Employer Health Benefits Survey. On average, workers contributed $6,106 toward the cost of family premiums, with employers paying the rest. The average premium for single coverage was $7,911 (up from $7,739 in 2021), with employees paying $1,327 annually, according to the survey. Nine percent of covered workers, including 21 percent of covered workers at small firms, are in a plan with a worker contribution of $12,000 or more for family coverage.

While premium data for 2023 generally won’t be available until after the new year begins, workers may see larger increases than in recent years.

Triple-Tax Advantaged HSAs

Some tools can help you manage your healthcare costs. More than three-quarters of large employers offer Health Savings Accounts (HSAs) that offer triple tax advantages: money contributed is pre-tax, it grows on a tax-free basis, and then can be withdrawn tax-free to pay for qualifying medical expenses now or in the future, all the way through retirement.

You can contribute to an HSA only if you’re enrolled in a qualifying high-deductible health plan. Average annual premiums for workers enrolled in HSA plans are lower than the overall average, but workers shoulder higher costs until they meet their deductible. 

Employees can contribute up to $3,850 to their HSA for individual coverage for 2023, up from $3,650 this year; for family coverage, workers can contribute up to $7,750, up from $7,300 this year, per an announcement by the Internal Revenue Service. Catch-up contributions for those 55 and over remain $1,000.    

Many HSAs give account holders the option to invest a portion of their money in the stock market. But fewer than 10 percent do so, as opposed to leaving their money just sitting in cash. If you can afford to pay your medical bills through your regular cash flow, your HSA funds will likely grow over time in the market and can be used in retirement to pay for a range of qualifying medical expenses.

HSAs  are portable and remain with the owner through plan and job changes. If you are no longer enrolled in a qualifying high-deductible health plan, you can no longer contribute to your account, but you can still tap it to pay qualifying medical costs. Flexible-spending accounts (FSAs), by contrast, are linked to a particular employer; unlike HSA funds, money in an FSA must be spent down or forfeited within a certain period.

Health Insurance Plans under the Affordable Care Act

Outside of the employer market, open enrollment began on November 1 on Healthcare.gov for individual and family health insurance plans under the Affordable Care Act. In most states, open enrollment ends on January 15, although you must enroll by December 15 if you want coverage to begin on January 1. The Inflation Reduction Act extended the enhanced premium subsidies for ACA enrollees through 2025; for many, that may offset the moderate average increases expected to premiums.

Impact of Rising Drug Costs

There are two main reasons drug costs are rising: First, pharmaceutical companies are introducing better, but more expensive drugs for several important conditions. In most years, total drug cost would be tempered by other brand name drugs that were being replaced by generics, but in 2023, there will be fewer of these than usual.

Second, pharmaceutical companies are raising the prices they charge to private health insurance plans because they anticipate having to lower the prices they charge to Medicare. The recent Inflation Reduction Act allows Medicare to negotiate drug prices for the first time. Currently, only 10 drugs are on the negotiation list, but these are widely used. The list will rise to 20 drugs in the future.

The “No Surprises” Act

The “No Surprises” Act that went into effect in January 2022 is having its intended effect of lowering surprise out-of-network charges to patients who get emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers.

InsureYouKnow.org

After you determine your healthcare insurance coverage for 2023, file your decisions at insureyouknow.org. Keep aware of government mandates that can affect your healthcare expenses for prescription drugs, out-of-network charges, changes in Medicare, increases in premiums, and your HSA and FSA contributions and withdrawals.

Take a Vacation = Take Care of Yourself

September 27, 2022

You work hard but do you also take time to relax, seek adventure, and recharge your mind and body? There are some major benefits to taking a vacation although many employees come up with excuses not to use all their vacation time each year.

Memo to Employees: Taking a Vacation Has Benefits

After you come up with a bounty of excuses for not taking a vacation—you feel guilty about being away from your office, you may think a vacation would be too expensive, or you are saving excess time for an unexpected event—you may be able to overcome these obstacles when you realize a vacation can provide the following benefits.

• Improves mental health. A recent study reports that after taking a vacation, travelers feel less anxious, happier, and well-rested.

• Prevents heart disease. By taking time off, you can lower your stress levels caused by working, which can, in turn, prevent your risk for heart disease or heart attacks.

• Brings happiness before, during, and after a trip. Planning a vacation helps you visualize the happiness your vacation will bring that will be experienced during your trip and as fond memories after you return to work.

• Increases productivity and creativity. When your brain is exposed to new experiences including languages, sights, sounds, and cultures, you feel revitalized, and your creativity is boosted. If you take regular time to relax, you’ll be less likely to experience burnout.

• Strengthens relationships. Traveling and exploring with other travelers—friends, family, or even a tour group– can add some fun and closeness to your relationships.

Memo to Employers: Encouraging your workers to take a vacation has benefits

If you are an employer, encourage your workers to take time off. Both you and your team deserve a break and the freedom to schedule vacations. To encourage your employees to take vacations, pay attention to these tips from Business News Daily:

• Acknowledge your employees’ need for vacation time.
• Build a process through which team members can cover for colleagues taking time off.
• Regularly remind employees of deadlines to submit holiday vacation requests.
• Show interest in your employees’ vacation plans.
• Clearly explain your time-off policies in your employee handbook.
• Promote a healthy work-life balance as part of your company culture.
• Lead by example and take vacations.

InsureYouKnow.org

Whether you rely on colorful printed brochures or flashy online resources, start planning a well-deserved vacation now! When you decide on an international, stateside, or local adventure, check on any medical precautions, prescriptions you may need to have at the ready for the duration of your trip, and health and travel insurance policies. Then, record all your travel arrangements for your getaway at insureyouknow.org.

Do You Realize How “Precious” a Child Is?

September 15, 2022

The cost of raising a child through high school has risen to $310,605 because of inflation that is running close to a four-decade high, according to an estimate by the Brookings Institution, a nonprofit public policy organization based in Washington, DC.  

In 2017—years before the pandemic and during an extended period of very low inflation—the U.S. Department of Agriculture (USDA) projected that the average total expenditures spent on a child from birth through age 17 would be $284,594. This estimate assumed an average inflation rate of 2.2 percent and did not include the expenses associated with sending a child to college or supporting them during their transition to adulthood. Since 2020, the inflation rate has skyrocketed— 8.5 percent as of July 2022—partly due to supply-chain issues and stimulus spending packages that put more cash into Americans’ pockets. The Federal Reserve has now raised interest rates substantially to control inflation.

The multiyear total is up $26,011, or more than 9 percent, from a calculation based on the inflation rate two years ago, before rapid price increases hit the economy, reports the Brookings Institution.

The new estimate crunches numbers for middle-income, married parents, and doesn’t include projections for single-parent households, or consider how race factors into cost challenges. 

Expenses

The estimate covers a range of expenses, including housing, education, food, clothing, healthcare, and childcare, and accounts for childhood milestones and activities—baby essentials, haircuts, sports equipment, extracurricular activities, and car insurance starting in the teen years, among other costs.

In 2019, the typical expenses to raise a child were estimated by the USDA as follows:

• Housing: 29%
• Food: 18%
• Childcare and Education: 16%
• Transportation: 15%
• Healthcare: 9%
• Miscellaneous (included Personal Care and Entertainment): 7%
• Clothing: 6%

Housing

Housing at 29 percent is the most significant expense associated with raising a child. The cost and type of housing vary widely by location. Other variables include mortgage or rent payments, property tax, home repairs and maintenance, insurance, utilities, and other miscellaneous housing costs.

Food

The cost of food is the second-largest expense, at 18 percent of the overall cost of raising a child. Over time, food prices have trended up, with food-at-home pricing increasing 12.1 percent and food-away-from-home pricing increasing by 7.7 percent from June 2021 to July 2022. The USDA expects rising costs for 2022, with increases as high as 10 percent and 7.5 percent, respectively.

Childcare and Education

Childcare and education expenses in 2019 accounted for 16 percent of the cost of raising a  child, and it continues to increase.

The widespread acceptance by employers of remote work and letting employees work from home part or full-time has eased the burden of childcare costs for many families, cutting the cost by as much as 30 percent for some workers.

Education is a major expense when it comes to raising children. When it comes to kindergarten through high school, parents can choose between public and private schools. For private schools, the Education Data Initiative estimated that tuition costs an average of $12,350 per year. Associated costs, like technology, textbooks, and back-to-school supplies, could bring that up to $16,050. For a child to be in private school from kindergarten through eighth grade, the estimated cost could be about $208,650. Additional expenses for extracurricular activities such as sports, the arts—music, theater, and yearbook—and other clubs also add up and are accompanied by fees for participation, equipment, and travel, which have also increased due to inflation.

Healthcare

The total cost of a health plan is set according to the number of people covered by it, as well as each person’s age and possibly their tobacco use. For example, a family of three, with two adults and a child, would pay a much higher monthly health insurance premium than an individual.

Strategies

Raising children is rewarding and fulfilling to many people. But it’s also become very expensive. By preparing mentally and implementing financial planning strategies, you can be well-equipped to raise your child to adulthood comfortably, even on a budget.

InsureYouKnow.org

If you are a parent, you are responsible for raising your child and providing food, clothing, shelter, and security. Consider getting insurance coverage—including life, short- and long-term disability, and health insurance to avoid putting your family at risk financially in the event of unexpected hardship. To cope with the rising costs of raising children, live within your means, save money wherever possible, and shop around for home and auto insurance each year for the best deals. At insureyouknow.org, you can track your expenses to raise a child and file insurance policies that cover your family’s financial and healthcare needs.

Play an Active Role to Prevent Childhood Obesity

August 30, 2022

National Childhood Obesity Awareness Month, observed in September, is dedicated to educating children and their families on how to prevent childhood obesity. Parents, teachers, and caregivers of young children are continuously challenged to find ways to prevent childhood obesity.

Obesity is defined as a body mass index (BMI) at or above the 95th percentile by the Centers for Disease Prevention and Control (CDC) sex-specific BMI-for-age growth charts. Childhood obesity is a serious problem in the United States where one in five children and adolescents are affected. Some groups of children are more impacted than others, but all children are at risk of gaining weight that is higher than what is considered healthy.

Obesity is a complex disease with many contributing factors including genetics, eating patterns, physical activity levels, and sleep routines. Societal and community factors also matter— childcare and school environments, neighborhood design, access to health, affordable foods and beverages, and connections to safe and convenient places for physical activity affect the ability of children to make healthy choices.

Strategies to Prevent Obesity

As a parent or a caregiver, you can help prevent obesity at home; healthcare systems can help families prevent and manage childhood obesity, and communities can use strategies to support a healthy, active lifestyle for all.

Compared to children with healthy weight, children who are overweight or obese are at a higher risk for asthma, sleep apnea, bone and joint problems, type 2 diabetes, and heart disease.

There are many ways parents and caregivers can help children have a healthy weight and set up lifelong healthy habits at home.

Healthy Eating Patterns

Adopting healthy eating patterns as a family helps children reach and maintain a healthy weight as they age. Eating a variety of vegetables and fruits, whole grains, lean protein foods, and low-fat and fat-free dairy products and following nutrition guidelines sets your family up for optimal health.

Help your children get the nutrients they need by making half their plate fruits and vegetables. Help kids rethink their drinks by replacing sugary drinks, such as soda, fruit drinks, and flavored milk, with water, 100 percent juice, or plain low-fat milk.

Movement Solutions

Physically active youth have stronger muscles and bones, better cardiovascular fitness, and lower body fat than those who are inactive.

Help your children move more and meet the Physical Activity Guidelines for Americans by making it a family affair. Walking the family pet before and after school, riding bikes, and having races in the yard all count toward physical activity. Active chores, such as washing the car, vacuuming a room, or raking leaves, also engage children in worthwhile physical activities.

Consistent Sleep Routines

Good sleep helps prevent type 2 diabetes, obesity, injuries, poor mental health, and problems with attention and behavior. Kids who don’t get enough sleep are at risk for unhealthy weight gain. Researchers are still trying to learn how sleep is linked to weight gain. Some reasons might include causing a child to eat more or to be less physically active because of a lack of energy.

CDC provides guidelines for the number of hours needed to sleep by age group. Preschoolers need 11–13 hours of sleep per day, including naps. Children 6–12 years old need 9–12 hours of uninterrupted sleep a night, and youth 13–18 need 8–10 hours. Sticking to a consistent sleep schedule, including on weekends, can help children sleep better.

Screen Time vs. Family Time

In young people, too much screen time can lead to poor sleep, weight gain, lower grades in school, and poor mental health. Reducing screen time can free up time for family activities and can remove tendencies to eat unhealthy food.

Turning screens off an hour before bed and removing electronic devices from children’s bedrooms can help reduce screen time and improve sleep. The American Academy of Pediatrics recommends creating a family media plan with examples of how to reduce screen time.

Healthcare Providers’ Recommendations

Talk to your child’s healthcare provider if you’re concerned about potential health risks associated with excess weight. Children with obesity are more likely to have type 2 diabetes, risk factors for heart disease such as high blood pressure and high cholesterol, muscle and joint problems, and fatty liver disease. Schedule annual physical checkups to routinely check on these medical conditions and to measure a child’s weight and height and plot them on growth charts to calculate BMI and assess patterns.

InsureYouKnow.org

At insureyouknow.org, keep a record of your child’s health insurance coverage, results from their annual wellness check-up, and follow-up recommendations to keep your child as healthy and happy as possible.

Calling All Employers to Support Mental Health

August 15, 2022

According to the American Psychological Association’s (APA) 2022 Work and Well-being Survey, eight in 10 U.S. workers say they would prefer to work for companies that provide support for mental health concerns. Of the employees surveyed, 71 percent believe employers are more concerned about the mental health of their employees now than in the past.

When asked to select from a list of a dozen possible supports that they would like to see employers offer, flexible work hours were the most chosen support at 41 percent of workers, followed by a workplace culture that respects time off at 34 percent, the ability to work remotely at 33 percent,  and a four-day work week at 31 percent.

Potential Benefits of Supporting Mental Health

• Increased productivity: Research shows that nearly 86 percent of employees treated for depression report improved work performance. Also, treatment of depression has been shown to reduce absenteeism and presenteeism (lost productivity occurring when employees are not fully functioning in the workplace because of an illness, injury, or other condition) by 40 to 60 percent.
• Increased retention: In a 2019 survey of more than 1,500 employees nationwide, more than a third of the respondents said they had left a job due at least in part to mental health. Of these, 59 percent said mental health was the primary reason.
• Decreased health care and disability costs: According to the National Alliance on Mental Illness, rates of cardiovascular and metabolic diseases are twice as high in adults with serious mental illness. The connection between physical health and mental health prompted the American Heart Association to release a report called Mental Health: A Workforce Crisis. It urges employers to provide comprehensive programs for the prevention and treatment of mental illness. The report found that the cost of doing nothing is higher than investing in evidence-based prevention and treatment.

Ways to Support Employee Mental Health

With these findings in mind, employees should consider implementing the following five ways to support employee mental health:

1. Understand how mental health impacts your employees.

• Make mental health training mandatory for your company’s leaders to help them be more aware of and invested in this aspect of their employees’ well-being.
• Train managers on what to do if they see signs of emotional distress or substance abuse.
• Use mental health calculators to estimate the prevalence and associated costs of untreated depression and alcohol and substance abuse at your workplace.
• Consider using surveys such as the Work Limitations Questionnaire and the Brief Job Stress Questionnaire to measure how your employees’ health and stress levels affect their productivity.

2. Include mental health coverage as part of your health care plan.

• Learn about the Mental Health Parity and Addiction Equity Act. It requires insurance coverage for mental health conditions, including substance use disorders, to be no more restrictive than insurance coverage for other medical conditions.
• Avoid plans that offer “phantom” mental health coverage. And find out how many psychologists and psychiatrists are in-network.
• Provide a health savings account (HSA) to help offset out-of-pocket costs.

3. Establish an employee assistance program (EAP).

Many companies use an employee assistance program (EAP) to support workplace mental health. While some employees may be reluctant to use this resource due to fear of stigma, shame, and lack of understanding about how these confidential programs work, you can take the following actions to increase EAP usage:

• Provide direct access to mental health professionals via phone or in person.
• Offer this resource to employees as well as to their immediate family members.
• Make it easy for employees to know with whom to talk or where to go to access mental health resources.
• Emphasize that your EAP can be accessed confidentially and free of charge.

4. Use communication to reduce stigma and increase access to mental health resources.

• Don’t wait until open enrollment to mention mental health benefits and community resources. Promote them frequently, such as in monthly newsletters.
• Ensure that your executives mention emotional well-being every time they talk about recruiting talent and building an inclusive culture that helps employees bring their best selves to work.
• Offer workshops so employees can learn more about mental health and resilience.

5. Promote well-being.

• Build as much flexibility as possible into all employees’ schedules.
• Offer access to apps that can help with sleep and stress reduction.
• Consider offering a meditation room, mindfulness training, or yoga classes at work.
• Encourage employees to use their vacation time. Some companies do this by limiting the number of vacation days employees can roll over into the next year. 
• Provide accommodations and develop a return-to-work process so that employees who need to take a leave of absence because of a mental health issue feel supported when they come back.

And finally, create opportunities for employees to build connections with one another, such as through social events, affinity groups, and social media platforms. 

APA Survey Conclusions

The APA survey shows that the U.S. currently has a workforce that seeks improvements to mental health support at work. While the pandemic may have exacerbated stressors among workers, particularly those in marginalized communities, it also provided an opportunity for employers to take action to prioritize employee well-being.

InsureYouKnow.org

Whether you are an employer or an employee, you can support mental health coverage as part of your company’s health care plan. At insureyouknow.org, you can document healthcare benefits that cover your mental health concerns, a list of the healthcare providers with whom you visit, and a record of prescriptions you take for physical and mental health issues.

In August, Embrace National Wellness Month

July 14, 2022

When you think about “wellness,” being physically fit may come first to your mind. During National Wellness Month in August, if you also focus on self-care, managing stress, and adopting healthy routines, you can establish lifestyle changes and add long-lasting habits to your list of wellness goals.

Practicing Self-Care

At Chopra.com, you’ll learn that self-care is simply one of the best medicines for managing stress. Self-care means the daily, weekly, and lifelong behaviors, actions, and thoughts you take to preserve or improve your long-term health and happiness.

You can make small self-care changes, including:

• Increase your water intake.
• Add more fruits and vegetables to your diet.
• Monitor your sleep and make adjustments for better sleep habits.
• Join a yoga, walking, or aerobics class.
• Learn to meditate and practice it daily.

These small steps can lead to many more healthy habits in your lifestyle.

Managing Stress

There are many healthy ways to manage stress, including:

• Recognize the things you can’t change. 
• Avoid stressful situations. 
• Get exercise. 
• Change your outlook. 
• Do something you enjoy. 
• Learn new ways to relax. 
• Connect with loved ones.
• Get enough sleep. 
• Maintain a healthy diet. 
• Learn to say no. 

Adopting Healthy Routines

Physical activity is any body movement that works your muscles and requires more energy than resting. Walking, running, dancing, swimming, yoga, and gardening are a few examples of physical activity.

Being active can:

• Protect your heart.
• Improve blood flow.
• Lower blood pressure and cholesterol levels.
• Give you more stamina and the ability to cope with stress.

If you’re inactive, you’re nearly twice as likely to develop heart disease than if you’re active. Learn more about the benefits of physical activity on the National Heart, Lung, and Blood Institute website.

Keeping Track of Your Health

When you go to your healthcare provider for an annual wellness check or during the year for other medical concerns, you probably receive follow-up messages about lab test results, diagnoses, or medications recommended. Your healthcare provider keeps your medical record on file but it’s a good idea for you to maintain your personal health record.

What kind of information should you put in a personal health record? You could start with:

• Copies of your health insurance cards and vaccination records.
• Your name, birth date, blood type, and emergency contact information.
• Date of last physical.
• Dates and results of tests and screenings.
• Major illnesses and surgeries, with dates.
• A list of your medicines and supplements, the dosages, and the length you’ve taken them.
• Any allergies.
• Any chronic diseases.
• Any history of illnesses in your family.

InsureYouKnow.org

During National Wellness Month, you can save your personal health record at insureyouknow.org  and keep updating it after each visit to your healthcare provider or if you have any changes in your health conditions or prescriptions.

We’re Having a Heatwave!

June 30, 2022

When you venture out of your air-conditioned comfort zone, do you immediately think, “It’s hot as Hades” outside? Extreme heat is the most dangerous type of severe-weather event in the United States. It’s easy to talk about the weather and resolve not to be able to do anything about it but you can take action to prepare for an extreme heat event. Learn what to do before, during, and after a heatwave to be safe and healthy. 

Heat Emergencies

There are three types of heat emergencies: heat cramps caused by loss of salt, heat exhaustion caused by dehydration, and heat stroke. If you are experiencing any of these symptoms, get out of the heat, lie down, apply cool compresses, elevate your feet, drink fluids, and use a fan to blow cool air. Get medical help if needed.

Heat Exhaustion and Heatstroke

Heat exhaustion occurs when your body gets too hot. Untreated, this condition can lead to heatstroke when your internal temperature reaches at least 104°F. Heatstroke is much more serious than heat exhaustion. It can cause shock, organ failure, or brain damage. In extreme cases, heatstroke can kill you.

Symptoms of heat exhaustion are:

• Muscle cramps
• Heavy sweating
• Pale or cold skin
• Weakness and/or confusion
• Dizziness
• Headache
• Nausea or vomiting
• Fast heartbeat
• Dark-colored urine, which indicates dehydration

In addition to these symptoms, warning signs of heatstroke also include:

• Fever of 104°F or higher
• Flushed or red skin
• Lack of sweating
• Trouble breathing
• Fainting
• Seizures

Prevention of Heat Exhaustion and Heatstroke

There are many things you can do to prevent heat-related illnesses. Babies, children, and elderly people are more sensitive to heat and require extra attention. You are at greater risk if you are ill, obese, or have heart disease. People who work outside or in a hot setting are also at risk of heat exhaustion and heatstroke.

If possible, avoid going outside when the temperature and heat index are high. Stay indoors in air-conditioned areas. If you do need to go outside, take the following precautions.

• Wear lightweight, light-colored, loose-fitting clothing.
• Protect yourself from the sun by wearing a hat or using an umbrella.
• Use sunscreen with a sun protection factor (SPF) of 15 or higher.
• Drink plenty of water throughout the day. Dehydration and lack of salt contribute to heat-related illnesses. Some sports drinks can help replenish the salt in your body lost through sweating. Drink water or other fluids every 15 to 20 minutes, even if you don’t feel thirsty. If your urine is clear, you’re probably drinking enough fluids. Dark-colored urine is a sign that you’re dehydrated.
• Avoid alcohol and limit drinks that contain caffeine, such as tea, coffee, and soda.
• Schedule outdoor activities for cooler times of the day—before 10 a.m. and after 6 p.m.
• Take frequent breaks from the heat and outdoor activities.
• Do not stay or leave a child in your car when it is hot outside. Even if you open the windows, the intense heat can be extremely dangerous.

Certain medications can put you in danger of heatstroke. They affect the way your body reacts to heat and include some antibiotics, allergy medicines, and drugs used to manage blood pressure, cholesterol, mental health disorders, and heart disease. Talk to your doctor if you take any of these or have an ongoing health problem.

Treatment for Heat Exhaustion and Heatstroke

If you or someone near you experiences heat exhaustion, treat symptoms in the following ways.

• Get out of the heat quickly and into a cool place, or at least in a shaded area.
• Lie down and elevate your legs to get the blood flowing to your heart.
• Take off any tight or extra clothing.
• Apply cool towels to your skin or take a cool bath. This will help regulate and lower your internal body temperature.
• Drink fluids, such as water or a sports drink. Sip slowly—don’t guzzle liquids. Don’t drink fluids with caffeine or alcohol.

Call 911 if:

• Symptoms don’t improve or an affected person still has a fever of 102°F after 30 minutes of initial treatment.
• The person goes into shock, faints, or has seizures.
• The person is not breathing; begin CPR right away to try and revive them.

Living With Heat Exhaustion and Heatstroke

After you’ve had heat exhaustion or heatstroke, you’ll be sensitive to heat. This can last for about a week. It’s important to rest and let your body recover while you avoid hot weather and exercise. Ask your doctor when it’s safe to return to your normal activities.

InsureYouKnow.org

At insureyouknow.org you can keep a record of your prescriptions known to exacerbate heat-related conditions. If you do experience an emergency during a heat wave, you’ll also be able to quickly access your health insurance credentials online to help healthcare providers effectively treat you. After you recover, be sure to take recommended precautions whenever you need to endure hot weather.

College Graduates’ Guide to Insurance

May 31, 2022

Congratulations to college graduates everywhere as the graduation season kicks off in 2022! Homework continues, however, as grads meet the challenges presented by their next decisions—changing their residences, jobs, and insurance coverages. Even though this last item may not be as exciting as finding a new place to live or pursuing a lucrative career opportunity, the following options in insurance coverages are important issues that new college grads need to address.

Health Insurance

Since the passage of the Affordable Care Act (ACA), choosing new coverage—or holding on to existing coverage—has been much easier for college graduates who may decide to:

1.     Remain on a parent’s insurance plan

Before the ACA was enacted, it was common for health insurance plans to drop dependents as soon as they graduated from college. But the ACA requires almost all health plans that offer dependent coverage to allow young adults to remain on a parent’s plan until they turn 26. So, for young adults covered under a parent’s plan, graduating from college no longer requires them to quickly find new health insurance.

2.     Purchase a short-term plan

Short-term health insurance is a potential alternative for college grads who need temporary coverage to tide them over until another policy kicks in. Even for grads who have a job lined up right away, employers often have a waiting period before health insurance coverage is available to new hires. Short-term plans can be purchased at any time of the year, with immediate effective dates available.

3.     Buy an ACA-compliant individual plan

For new grads who want a more robust, ACA-compliant plan that covers the essential health benefits and pre-existing conditions, a plan purchased through the state health insurance exchange is likely to be an ideal solution. For more information about marketplace insurance, visit www.healthcare.gov. 

4.     Check Medicaid eligibility

In 38 states, Medicaid has been expanded to cover all adults with income up to 138 percent of the poverty level. In 2022, that’s $18,754 for a single individual, except in Alaska and Hawaii where the limit is higher. Medicaid enrollment is available year-round and coverage includes pre-existing conditions. In most cases, there are no premiums. For a new grad living in a state where Medicaid has been expanded, this could be a perfect solution during the weeks or months that it might take to find a job after graduation.

5.     Get coverage through a new employer

College grads may be able to enroll in group coverage at their new jobs. Employer-sponsored health insurance generally offers substantial benefits, and employers typically pay a large portion of the premiums. Employee contributions are paid through payroll deductions. Participants also may be eligible to enroll in a Health Savings Account that minimizes the financial impact of out-of-pocket medical expenses. 

Renters’ and Homeowners’ Insurance Policies

Before graduation, college students probably lived in a dorm room or shared housing with other students. Now, it may be time for them to relocate to their first apartment, condo, or house. 

Renters need to understand that their landlord’s insurance doesn’t cover their belongings. Suppose renters experience an unforeseen situation, including burglary, stormy weather that causes a leaky roof to destroy their furnishings, or a fire that creates smoke damage. In these scenarios, they could be protected by renters’ insurance.

Homeowners’ insurance policies, available to college grads buying their first condos or houses, combine several types of coverage, including dwelling, personal property, other structures, loss of use, personal liability, and medical payments into one policy,

It’s a good idea for renters and homebuyers to create a spreadsheet with an inventory of the contents of their residences, placing approximate values on their belongings.

Auto Insurance

Upon completing college, grads may be ready to buy a new car that requires upgrading their auto insurance, especially if they had been previously covered under their parents’ policy. Personal auto insurance is a package policy providing four coverages—liability, medical payments, uninsured and underinsured motorist, and physical damage.

Life Insurance

Unless a college grad is married or has individuals, such as a child or an aging parent dependent on their income, life insurance may not be needed right away. However, if young adults are single, healthy, and in a family with a good health history, they may be at an insurability peak and would benefit from the best rates on life insurance.

InsureYouKnow.org

College graduation prompts a transition from a school-based existence to one replete with adult responsibilities, including the need to put insurance policies in place. By preparing for the unforeseen future, college grads who do their homework on insurance options and keep copies of policies, inventories of their belongings, and records of any claims submitted at insureyouknow.org, can begin living their lives to the fullest.

Shopping for SHOP Coverage

May 15, 2022

Signed into law in 2010, the Affordable Care Act changed many regulations affecting small businesses and insurance. The law established the Small Business Health Options Program (SHOP) for small employers —generally those with 1–50 employees—who want to provide health and dental coverage to their employees affordably, flexibly, and conveniently.

Qualifications to provide SHOP coverage

Find out on the HealthCare.gov website if your business or non-profit organization qualifies for SHOP by meeting the following four requirements:

1.  You have 1-50 full-time equivalent employees (FTEs)

• Use the FTE Calculator to see if you qualify. Note: To qualify for SHOP, you must have at least one FTE employee other than owners, spouses, and family members of owners and partners.

2.  You offer coverage to all full-time employees—generally, workers averaging 30 or more hours per week

• You don’t have to offer coverage to part-time employees—those averaging fewer than 30 hours per week—or seasonal workers.

3. You enroll at least 70 percent of the employees to whom you offer insurance

• Employees with other health coverage aren’t counted as rejecting your offer.
• Use the SHOP Minimum Participation Rate Calculator to see how many of your employees must accept.
• Some states have different minimum participation requirements. See if this affects you.
• If you don’t meet your minimum participation requirement, you can enroll between November 15-December 15 any year. During this time, the participation requirement isn’t enforced.

4. You have an office or employee work site within the state whose SHOP you want to use

• Visit this page, select your state, and see how to access SHOP insurance in your state.
• See what to do if your business operates in multiple states.
• If eligible, you don’t have to wait for an open enrollment period. You can start offering SHOP coverage to your employees any time of year.

Reasons to offer SHOP coverage

• SHOP insurance gives you choice and flexibility to:
  • Offer your employees one plan or let them choose from multiple plans.
  • Offer only health coverage, only dental coverage, or both.
  • Choose how much you pay toward your employees’ premiums and whether to offer coverage to their dependents.
  • Decide how long new employees must wait before enrolling.
• You can get the information you need in one location. You can make an informed decision about your SHOP insurance options with the tools at HealthCare.gov where you can compare plans and prices and find out if you qualify for SHOP.
• You can use your current SHOP-registered agent or broker or find an agent or broker in your area to help you enroll in coverage.
• You may be able to get the Small Business Health Care Tax Credit. Enrolling in SHOP insurance is generally the only way for eligible small employers to take advantage of the Small Business Health Care Tax Credit. You may qualify if you have fewer than 25 FTE employees making an average of about $56,000 or less. See how much your business could save. Updated IRC guidelines for small business health care tax credit and the SHOP marketplace can inform you if you are a small employer.

InsureYouKnow.org

Whether you are an employer or an employee in a small business, you may find it helpful to review SHOP coverage how-to guides, fact sheets, tools, and other resources. After making SHOP health insurance decisions, you can keep your records about the best plan for you and its costs, benefits, and features at insureyouknow.org.

Before You Take a Deep Breath Outside This Spring

April 15, 2022

You’ve got cabin fever and spring weather is beckoning you to enjoy the great outdoors.  Before you venture forth–even if it’s just to your backyard—curtail allergic reactions to pollen that may cause you to have hay fever and start to sniffle and sneeze.

Causes and symptoms

The biggest spring allergy trigger is pollen from trees, grasses, and weeds that release tiny grains into the air to fertilize other plants. When these particles get into the nose of someone who’s allergic, they send the body’s defenses into high gear.

The immune system mistakenly sees the pollen as a danger and releases antibodies that attack the allergens leading to the release of histamines into the blood. Histamines are chemicals that trigger a runny nose, itchy eyes, dark circles under your eyes, and other symptoms that are familiar if you have allergies.

Pollen counts tend to be particularly high on breezy days when the wind picks up sneeze-inducing grains and carries them through the air. Rainy days wash away allergens.

Being inside may protect you from windblown pollen, but other seasonal triggers, such as mold and dust mites, can be prevalent inside your house and cause allergic reactions. 

Diagnosis

Start with your primary physician who may refer you to an allergist for tests. An allergy specialist may give you a skin test, which involves either pricking the surface of the skin with a tiny amount of allergen or injecting a tiny sample of a diluted allergen under the skin of your arm or back. If you’re allergic to the substance, a small red bump (called a wheal or hive) will form. You may also undergo a blood test to detect and measure the allergen-specific antibodies in your blood.

Treatments

Many over-the-counter and prescription drugs can ease the symptoms of allergies. They include:

• Antihistamines reduce sneezing, sniffling, and itching by lowering the amount of histamine in your body.
• Decongestants shrink blood vessels in the nasal passageways to relieve congestion and swelling.
• Antihistamine/decongestant combos combine the effects of both drugs.
• Nasal spray decongestants relieve congestion and may clear clogged nasal passages faster than oral decongestants without some of the side effects.
• Steroid nasal sprays ease inflammation and are the preferred initial treatment.
• Eye drops relieve itchy, watery eyes.
• Immunotherapy gives you gradually increasing doses of the allergen until your body can handle it. The treatment can relieve your symptoms for a longer time than other types of allergy medications. Although it doesn’t work for everyone, it can stave off some people’s symptoms for a few years.

If you feel like you need over-the-counter antihistamines and decongestants for more than a few days, ask your doctor to recommend an effective regimen, which may include:

• Prescription medications, including steroid nasal sprays,
• Allergy shots, or
• Under-the-tongue immunotherapy tablets.

Some natural and alternative remedies for allergies that may ease your symptoms include:

• Nasal irrigation, a way to rinse your nasal passages with saline solution
• Butterbur, an herb from a European shrub that shows potential for relieving seasonal allergy symptoms
• Acupuncture,  a technique in which practitioners stimulate specific points on the body—most often by inserting thin needles through the skin

Talk to your doctor before you start any herbal product or alternative treatment. Some can cause side effects or react with medications you take.

InsureYouKnow.org

After you choose and try allergy remedies, keep track of your selections and effectiveness at insureyouknow.org. On this handy portal, you’ll also be able to retain health insurance coverage records, details about office visits and allergy tests, and dates of prescriptions so you’ll know when you need refills to prevent seasonal allergies from interrupting your spring activities.