That's the information at the top of a communication from Florida Blue, a "trade name of Blue Cross and Blue Shield of Florida, an Independent Licensee of the Blue Cross and Blue Shield Association," to one of their individual policy holders.
Why they need a trade name is a puzzlement, but this additional layer of middlemen probably does not come free.
Anyway, to put the rest of the letter in context, let me explain that the policy holder is a gentlemen in his late sixties who has never been gainfully employed and subsists on the inheritance his college professor father left him. At some point, his elder brother, who administers the inheritance, was advised that the gentlemen might qualify for SSI, but the brother insisted the family would take care of necessaries.
I should perhaps also note that the gentlemen has had the gas for his water heater disconnected because he objected to paying the service charge for gas during the summer when he was not using any hot water. Besides, the cat, for whom he maintains his household does not need hot water.
So, to the letter:
Dear (policy holder)That's clearly a ploy to hold on to a member of a captive market.
With the new regulations surrounding the Affordable Care Act, we're happy to let you know that you've been designated "grandfathered," which means you can keep your current Florida Blue plan!
You're also able to review new plans now available. To help you decide if changing your plan would be to your benefit, just give us a call or stop in to our office.
Tax credit eligibilityAnother offer to keep the rube in the fold.
You may be eligible for a premium tax credit (subsidy) from the government. You can find out how much you might qualify for by using the online estimator at floridabluehealthcarereform.com
To keep your current plan, do nothingPresumably, that is the context for the "Time Sensitive Information About Your Health Insurance Plan" that is splashed across the front of the envelope, which is probably what motivated the recipient to send the whole kit and kaboodle on to me. He underlined "do nothing" and noted "I am able to do nothing." Which is both true and false in that he needs a little help.
Your plan will be subject to annual rate adjustments, at which time you will once again have the opportunity to select a new plan. In the future, should Florida Blue plans change, we will notify you in advance. Your current plan will be in effect as long as you continue to pay your premiums on time.
Florida Blue is thankful.
As always, thanks so much for entrusting us to handle your health insurance needs....What those benefits are is questionable since some kindney stones cost him a pretty penny a couple of years ago. Never mind that there is no mention of any of the new benefits (annual check up, flue shots, etc.) nor of the fact that since he's over 65, he should/could be enrolled in Medicare.
P.S. You may receive information or hear claims about other health plans that sound too good to be true. You can count on us to provide you with expert, accurate information, answer your questions and ensure uninterrupted benefits.
I'm going to have to assume that crunch time is in December and new plans start in January. It will take at least that long to get particulars. However, the forwarding of the letter is evidence that the gentleman is tentatively inclined to be helped.
Is it likely that he has an actual copy of his policy? No. Does the brother?
Doing nothing is an attractive option to many people.