Frequently Asked Questions

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Image: CPA Insurance Marketplace

Q1. What is the CPA Insurance Marketplace?
A. The CPA Insurance Marketplace is an online private exchange where members and their employees can compare and purchase products and services from insurance providers that compete for business within the marketplace.

Q2. What products are available in the CPA Insurance Marketplace?
A. Major medical insurance is the main attraction on the marketplace, however other products such as dental, vision, term life, disability, accident, telemedicine and identity theft protection are also available at specially-negotiated pricing within the marketplace. Insurance plans are provided by leading providers.

Q3. What is different about the insurance plans in the CPA Insurance Marketplace versus the public exchange (Federally Facilitated Exchange or Health Insurance Marketplace)?
A. Most health insurance plans available on the public exchange (known as Qualified Health Plans) will also be available at the same rates through the CPA Insurance Marketplace. The Marketplace has additional plans that will not be available through the public exchange. This is because some insurance providers have chosen to limit the number of plans they offer on the public exchange or have chosen not to participate on the public exchange. Both the public and Marketplace will have dental plans available. Plans available on the CPA Insurance Marketplace that will not be available on the public exchange include vision, term life, disability, AD&D, wellness and additional supplemental products and services.

Q4. Can I be turned down for health insurance coverage in the CPA Insurance Marketplace due to a pre-existing health condition?
A. Beginning with new coverage effective dates of January 1, 2014, most health insurance plans can't refuse to cover you or charge you a higher premium because of a pre-existing health condition. This will be the case regardless of whether you purchase your plan on the public exchange or the Marketplace.

Q5. Will there be subsidies to help me pay for my health insurance?
A. As part of the Affordable Care Act (ACA), beginning in October 2013, lower and middle-income people under age 65 who are not eligible for coverage through their employer, Medicaid or Medicare can apply for tax-credit subsidies available through the public exchange. Our online calculator, within the Marketplace, will help you estimate if you potentially qualify for a tax credit. If you do, our enrollment counselors are available to assist and guide you through the tax-credit application.

Q6. When will I be able to create an account and begin getting information and pricing on plans in the CPA Insurance Marketplace?
A. Beginning on Nov. 1, 2013, you will be able to create an account on the Marketplace and begin viewing plan information and rates. Benefits counselors will be available to assist you at that time. The earliest plans in the Marketplace can be made effective is January 1, 2014; you have plenty of time to review your options and enroll for coverage.

Q7. Should I create an account on November 1, 2013?
A. The earliest your coverage can be made effective through the exchange is January 1, 2014, and you’ll have all the way up to December 15, 2013, to apply for coverage for that date. Member Benefits, Inc counselors will be available to assist you beginning Nov. 1, 2013, however we are expecting a much higher volume of activity at that time, so it may make sense to wait a few weeks when the rush of activity has settled down.

Q8. When can I get a quote?
A. The earliest plans and rates will be available for quoting is Nov. 1, 2013. Until that date, we are not permitted to release any detailed information about plans or rates.

Q9. Is the private exchange available to out-of-state members?
A. Not at this time. Due to complexities and differences in health insurance providers and the public exchange rules in each state, the health insurance products in The CPA Insurance Marketplace are only available to residents of Florida at this time.

Q10. Do small employers have to pay a penalty for not offering insurance in 2014?
A. No. Under the Affordable Care Act, businesses with fewer than 50 full-time-equivalent employees are not required to provide health insurance to their employees. Those employers will not face tax penalties if they decide not to offer their employees group health insurance.

Small employers can offer their employees additional pay to assist them in purchasing coverage on the public exchange or marketplace as an alternative.