Wednesday, October 22, 2014

Peter’s Blog: Ready, Set, Open for Business!

One year ago, many of us were rolling up our sleeves and working long hours together to help millions of Californians get the health care coverage they wanted and deserved. Today Covered California is getting ready to open the doors of health care coverage again.

Thursday, October 16, 2014

Covered California Launches Renewal for more than 1.1 Million Enrollees and Announces New Initiatives for Next Open-Enrollment Period

Lessons Learned from Initial Open Enrollment Applied to Major Changes for Upcoming Open Enrollment Nov. 15 to Feb. 15

SACRAMENTO, Calif. — Covered California announced it has begun the renewal process for 1.12 million individuals who enrolled in plans in the exchange last year and unveiled substantial new improvements to facilitate enrollment in coverage for 2015.

Monday, October 13, 2014

Covered California Clears Most Consumers Who Were Missing Documents to Prove Lawful Presence

Pre-Termination Notices Will Be Sent Today To Fewer Than 11,000 People

SACRAMENTO, Calif. — Covered California announced Monday it has been able to clear the citizenship/lawful presence status of the vast majority of individuals who were sent notices seeking verification documents in September, meaning that pre-termination notices will be sent today to cases involving only 10,474 people.

Wednesday, October 1, 2014

One Year Later

Today is an important anniversary. One year ago, a new era of health care began in California and across the nation. On Oct. 1, 2013, the Affordable Care Act went from being just an idea to being the new reality for our country, as we started to enroll Americans in coverage that would start in January.

Monday, September 15, 2014

Covered California Announces Insurance Plans For Small Businesses In 2015

Carriers Remain Consistent, but New and Expanded Choices Are Now Available to Employees

SACRAMENTO, Calif. — Covered California is bringing greater flexibility to employers, additional options for adult dental coverage, and more choice of benefits employees can select through the Small Business Health Options Program (SHOP). The news comes as Covered California announces the insurance carriers SHOP will offer for the 2015 plan year.

Covered California Announces Community Outreach Campaign for 2015

New Grant Awards and Advertising to Support Renewal and Enrollment in 2015

SACRAMENTO, Calif. — Building on high enrollment in 2014, Covered California launched its community outreach campaign for 2015 on Monday, including new grants to community groups and a comprehensive advertising campaign aimed at attracting new consumers and encouraging them to enroll in the state’s health benefit exchange.

“Today we are sharing stories about real people whose lives have been changed by the coverage offered under the Affordable Care Act,” Covered California Executive Director Peter V. Lee said. “We are building on the partnerships across the state to provide new grants to community groups to engage people directly and help them get the coverage they need.”

The new series of ads, which feature real Californians who have health coverage as a result of the Affordable Care Act, will begin rolling out this week in markets statewide. The ads can be downloaded at

“Our campaign on the airwaves will support our community outreach campaign by making tangible the benefits of getting covered,” Lee said. “But even more importantly, we hope these ads will foster conversations at family dinners, in churches and in schools — where Californians will be talking about the benefits of having coverage and making sure no one who is eligible for coverage goes without it. Beyond these conversations, we will build on an expansive network of thousands of Certified Enrollment Counselors, Certified Insurance Agents and county eligibility workers helping people learn about insurance and enroll.”

The campaign includes $46 million in new statewide advertising and $14.6 million in new community outreach grant funding. This new funding, combined with approximately $33.4 million in funds that community outreach groups will spend in the coming months for renewal and enrollment, brings Covered California’s investment in this community outreach campaign to $94 million for 2015.

Selected organizations will receive between $50,000 and $750,000 in grants, based on their experience with special populations defined by common characteristics — such as language, ethnicity, geography and employment sector — and their ability to effectively educate and enroll Californians and help individuals with Covered California coverage renew their insurance.

The grant award period is from Oct. 1, 2014, through June 30, 2015. A list of grantees and amounts received is available at

Supported by the federal funding provided under the Affordable Care Act, new grants will support the existing Covered California Outreach and Education Program and in-person enrollment assistance programs.

Lee said that the experiences from the first year are guiding how community partners will go about reaching target populations in this renewal and open-enrollment period.

Informational materials that are culturally relevant and in multiple languages will be offered to specific communities to help improve the health literacy of those who have been uninsured and to explain the financial and practical importance of having health coverage.

“We learned some important lessons in year one,” Lee said. “We know how important it is for consumers to get one-on-one help from trusted sources in their communities where they live, work and play.”

Open enrollment begins Nov. 15, 2014, and continues through Feb. 15, 2015, but Covered California will be reaching out to those with insurance in October to get them ready for renewing their coverage.

Covered California anticipates a total enrollment of 1.7 million Californians by the end of the coming open-enrollment period — 1.5 million in subsidized coverage and 230,000 in unsubsidized coverage. This forecast represents an increase of about 500,000 in total enrollment (43 percent).

Covered California’s enrollment projection model considers experience to date and feedback from experts regarding expectations about future growth. The projection considers current enrollment, individuals who are eligible for subsidies but not enrolled, disenrollment and individuals who may transition to Covered California from Medi-Cal or employer coverage.

“We’ve come a long way in California,” Lee said. “Recent studies show California has dramatically reduced the number of uninsured people, but there’s more work to do. With these stepped up education and enrollment efforts, we will continue working to reach as many Californians as possible to give them the peace of mind that comes with having the coverage and care they need.”

About Covered California

Covered California is the state’s marketplace for the federal Patient Protection and Affordable Care Act. Covered California, in partnership with the California Department of Health Care Services, was charged with creating a new health insurance marketplace in which individuals and small businesses can get access to affordable health insurance plans. Covered California helps individuals determine whether they are eligible for premium assistance that is available on a sliding-scale basis to reduce insurance costs or whether they are eligible for low-cost or no-cost Medi-Cal. Consumers can then compare health insurance plans and choose the plan that works best for their health needs and budget. Small businesses can purchase competitively priced health insurance plans and offer their employees the ability to choose from an array of plans and may qualify for federal tax credits.

Covered California is an independent part of the state government whose job is to make the new market work for California’s consumers. It is overseen by a five-member board appointed by the governor and the Legislature. For more information about Covered California, please visit

Thursday, September 4, 2014

Covered California Reaches Out to Thousands of Consumers Who Have Limited Time to Clarify Their Lawful Presence in California

Agents, Counselors and Community Organizations Will Help Educate Enrollees That Citizenship and Immigration Documents Must Be Submitted, or the Consumers Risk Losing Coverage

Covered California is contacting about 98,000 families that must resolve eligibility inconsistencies in their 2014 enrollment documents.

The consumers will need to submit documents showing they are lawfully present in the United States as U.S. citizens, U.S. nationals or individuals with eligible immigration status, in order to continue their health insurance through Covered California. Notices are being mailed and emailed to consumers beginning this week. If proper proof is not provided by Sept. 30, 2014, these individuals risk termination of health coverage.

“We want to clear these inconsistencies so that our consumers can have a smoother renewal process without any interruption in their coverage,” said Covered California Executive Director Peter V. Lee. “We’re implementing a multi-touch, multi-channel outreach approach to notify individuals who risk losing coverage.”

Covered California has been working to clear inconsistencies. To date, more than 700,000 documents have been verified and processed.

Documents submitted by consumers will be treated confidentially and will be used only to determine the consumers’ eligibility for health insurance programs and will not be used for immigration enforcement.

Lee said some consumers may have previously provided Covered California the required documents, but the agency could not reconcile the information to verify citizenship or immigration status. For example, some documents were illegible, and in some cases two pieces of proof were needed, but only one document was sent, so the agency is requesting the documents be sent again.

The notices will provide consumers with a list of documents they can send to prove their lawful presence. The notices will be delivered in English and Spanish, and help is also available in other languages.

Consumers also will be instructed on how to upload the documents to their account, send them via U.S. mail or fax them to (888) 329-3700. Additionally, thousands of partners, including Covered California Certified Insurance Agents, Certified Enrollment Counselors, Service Center representatives and county eligibility workers, will be available to help consumers submit the necessary documentation.  

Lee stressed that consumers should act quickly to submit the requested documents.

“If we do not get your documents, Covered California must cancel your health insurance, along with any federal tax credit you may be receiving that lowers your monthly premiums,” Lee said. “If you have received tax credits, and your health insurance is canceled, you may have to repay those tax credits. If your health insurance is canceled, you may also have to pay a tax penalty.”

The following documents may prove eligible immigration status: a U.S. passport; a certificate of naturalization (N-550/N-570); a certificate of citizenship (N-560/N-561); a U.S. public birth certificate; a driver’s license issued by a U.S. state or territory; an identification card issued by the federal, state or local government; a school identification card; a foreign passport; and a green card. A complete list will be offered at