Monday, July 4, 2022

How To Get Health Insurance In Dc

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After Getting Your Washington Dc Insurance License

Once youve passed your exams and completed the licensing application, you are now a licensed insurance agent in Washington DC. A common question we hear is, I have my insurance license, now what? Here are a few things you can do or need to know:

Applying For Health Insurance Under The Affordable Care Act

Marys Centers certified staff will help you determine if you are eligible for insurance coverage under the ACA. If so, we are happy to help you sign up for the most appropriate health plan during the special enrollment periods in Maryland and DC.

You can apply for ACA plans online by clicking below: 

You can apply for Medicaid anytime.

Option 5: Buy Through A Membership Organization

If you belong to a union, alumni association, professional organization, or any other large group, you may be able to purchase health insurance through it at group rates. Freelancers Union, for example, offers health insurance through its subsidiary, Freelancers Insurance Agency, and through one of its partners, HealthPlanServices.

When looking for health insurance through an association or membership organization, make sure you will actually be purchasing insurance and not just a health services discount plan. Discount plans might save you money on prescriptions or eyeglasses, but they wont help you if you get cancer. Also be aware that even if the association itself is a not-for-profit organization, it may be tied to or even established by a for-profit insurance agency through which it sells policies to association members.

How Do I Enroll In The District Of Columbias Health Insurance Exchange

Every ACA plan must provide 10 essential health benefits, which includes coverage for preexisting conditions, inpatient hospital care and prescription drugs. Although the District of Columbia is not a state, it has set up the DC Health Link as its exchange to provide ACA-compliant individual health policies to its residents.

Besides establishing its own ACA exchange to buy health insurance, the District has expanded Medicaid beyond what most states have done, severely restricted short-term health insurance policies, and put in place an individual mandate. This means that every D.C. resident must have qualifying health coverage. If you dont have insurance or get an exemption, you will have to pay a penalty as part of the taxes you file for D.C. The mandate took effect in 2019.

When Will I Receive My Au Student Health Insurance Plan Card

Washington Dc Medical Insurance Card : How To Get Cheap ...

To receive your CareFirst insurance card after August 1, you can create an account with CareFirst. You will only be able to do this after completing the enrollment form online with Academic HealthPlans. Please note, there may be a delay in accessing your insurance card if you did not complete the enrollment form before August 1. You can also download the mobile CareFirst app on your phone at MyAccount.

What About Medicare Plans For Dc Seniors And People With Disabilities

Medicare is a federal health insurance program that primarily covers people age 65 and older, younger people who are disabled and dialysis patients. Your income doesnt affect whether or not youre eligible for Medicare. 

As of October 2020, nearly 95,000 D.C. residents had Medicare Part A and Part B . And more than three-quarters of  Medicare enrollees gpt their Part A and Part B coverage through the federal governments Original Medicare program. The rest get these benefits through private Medicare Advantage plans. Part C plans roll in other benefits, including Part D prescription drug coverage, in most cases.   

Original Medicare only covers about 80% of approved costs. If you choose coverage through Original Medicare, you can add a Medicare Supplement Insurance plan to pick up expenses that Medicare doesnt include.

Like many U.S. states, 10 standardized Medigap plans are available in the District of Columbia to help pay some to all of your uncovered, out-of-pocket costs. These include copayments, coinsurance and deductibles.

The federal government sets the benefits for each standardized plan, so each type of plans basic benefits are the same no matter where you buy it. But since an insurance company can charge what it wants for its policies, premiums can vary depending on the insurer you buy it from.

For application assistance, call 994-6272 or .

Student Health Insurance About The Student Health Insurance Plan

American University requires all full-time students, all students who live in AU housing, and all international students with F-1 and J-1 visas to carry personal health insurance. Students in these required categories are automatically enrolled in the AU student health insurance plan offered by CareFirst. The 2021-2022 annual premium of $1,981 is automatically assessed to your student account. If you are covered under another comparable health insurance plan, you can waive the university-sponsored student health insurance plan by submitting a waiver.

Student Health Insurance will be provided by CareFirst for the 2021-2022 policy year.

The Rates for the 2021-2022 Policy Year



*Fall Only coverage is only available to students in one-semester programs at the university. Students who graduate in December may contact the SHC in December and once we verify your graduation, we will provide a refund. You must contact the university before December 31st to receive a refund.+ Spouse/Partner and dependent coverage must be paid directly to CareFirst once the student’s enrollment is complete and cannot be broken into installment payments.

Complete An Insurance Exam Prep Course

Those looking to earn a District of Columbia insurance license have a significantly higher chance of passing their licensing exam when they complete one of Kaplans exam prep courses. Give yourself the best chance to pass before you sit for the state exam. 

Prelicensing Education Hour Requirements

  • The District of Columbia does not require prelicensing education.
  • Although prelicensing education is not required, due to the difficulty and nature of these exams, Kaplan highly recommends enrolling in a study course.

Acceptable Methods of Education

  • Online

Adjuster License Requirements

The Texas Designated Home State Adjuster license is available to an individual who is a resident of a state that does not license adjusters. This means you can obtain the Texas Property/Casualty Adjuster license just as a Texas resident adjuster would and complete the Texas bi-annual continuing education requirement. The Texas DHS Adjuster license is highly respected in the industry and can significantly enhance your credibility as an adjuster in your home state.

Additionally, earning the Texas DHS Adjuster license enables you to adjust with enhanced credibility and industry expertise in CO, DC, IA, IL, KS, MA, MD, MO, ND, NE, PA, NJ, OH, SD, TN, VA, and WI.

Check with the Department of Insurance in your resident state and the states you wish to adjust to see how the Texas PC Adjuster license can be used in those states.

How Does Dc Short Term Health Insurance Work

District of Columbia short term health insurance plans offer health care coverage for up to 3 months. Renewals are not allowed, and pre-existing condition exclusions are prohibited. was introduced in Washington D.C. in order to limit short term health insurance in D.C., after federal laws rolled out that significantly loosened the limits on this kind of coverage.

Rate Changes In Previous Years

Heres a look back at how premiums have changed in DCs exchange over the years:

2015: Single-digit rate changes

The D.C. DISB approved 2015 premiums in September 2014. For individual plans, average rate changes by carrier varied from a 6.1 percent decrease to a 7.6 percent increase. For small-group plans, the range was a 17.2 percent decrease to a 12.7 percent increase. See the DISB website for details.

2016: Another round of single-digit rate hikes

Aetna discontinued their six individual market plans in DC at the end of 2015, leaving just CareFirst and Kaiser for enrollees shopping for 2016 coverage. Regulators from the DISB reduced proposed rates across the board before approving them. Average approved rate increases ending up being 2 percent for CareFirst HMOs, 4.6 percent for CareFirst PPOs, and 6.6 percent for Kaiser.

CareFirst had significantly more market share than Kaiser in 2015, despite the fact that Kaiser had lower premiums . But Kaisers premiums increased by a slightly higher percentage than CareFirsts, which helps to even out the premiums. Across the whole individual market not including Aetnas enrollees, which was a very small portion of the market the average rate increase for 2016 was just 4.25 percent, which was far below the national average.

2017: Average rate increases ranged from under 2% to nearly 23%

2018: Average increase of about 15.6%

2019: Average rate increase of 13% in the individual market

The Future Of Small Business Health Insurance

Defined Contribution Plans allow employers to offer health benefits without offering a traditional group health insurance plan. Instead of paying costs for a specific group health plan, employers allocate tax-deductible monthly allowances for their employees to spend on private health insurance and other medical expenses tax-free.

Features of defined contribution plans include the following:

  • Employee Choice employees choose a health insurance plan that best fits their needs.

  • Fixed Cost employers control health care costs by allocating fixed monthly allowances for their employees.

  • Savings employers using Defined Contribution Plans typically cost less than group health plans which results in saving for both the employer and employee.

If I Am Covered By My Parents’ Insurance Plan Or Have Other Coverage Why Would I Need The Au Plan

If you are covered by your parents’ plan or have other coverage with comparable benefits to the AU plan, you probably wouldn’t need the AU insurance plan. Before you waive, you might want to review the specifics of your current policy and compare them with the AU plan. Some of the basic information you might want to compare is:

  • Annual cost: Is the AU plan less expensive for the amount of benefits offered than your current plan? 
  • Deductible amount: How much you will pay out of pocket before your insurance pays?
  • In-network and out-of-network benefits: Does your insurance consider specialists in DC in-network or out-of-network?
  • Prescription drug benefits: Does your plan include coverage for prescription drugs?
  • Coverage abroad: Does your plan include coverage when you travel abroad?

Where To Apply For Health Coverage

Washington Dc Medical Insurance Card : How To Get Cheap ...

People in most states use to apply for and enroll in health coverage.

If your state appears on the list below, you wont use Youll use your states website to enroll in individual/family or small business health coverage, or both.

Covered California is your state’s Marketplace. Visit Californias website.

If You Do Not Have Insurance Heres What To Do:

  • Meet with us before you make your first doctors appointment at Marys Center. During the meeting, we will help you find out if you are eligible to sign up for a health plan or public benefit. 
  • Once we determine you are eligible for a health plan or public benefit, we will help you with the sign-up process so you can see one of our medical providers as soon as possible. 
  • Step 4 Washington Dc Insurance License Application

    After you have completed your exams, the next step is to apply for your license. If you have more than one line of authority that you have passed the exam for, be sure to apply for all of those lines.

    The fee for an online application is $100 per line, plus a $5 NIPR fee.

    Apply for your license online on the NIPR Washington DC Insurance page.


    The Marketplace In Your State

    No matter what state you live in, you can enroll in affordable, quality health coverage.

    New Jersey: For 2021 coverage, use Get Covered NJ to enroll

    Starting November 1, 2020, New Jersey residents will no longer enroll in coverage through Instead, theyll use Enroll for 2021 as soon as November 1, 2020.

    Continue using for 2020 coverage information.

    Pennsylvania: For 2021 coverage, use Pennie to enroll

    Starting November 1, 2020, Pennsylvania residents will no longer enroll in coverage through Instead, theyll use Enroll for 2021 as soon as November 1, 2020.

    Continue using for 2020 coverage information.

    Apply For Health Insurance Dc

    More information about these programs can be found on the dc department of health care finance website see the frequently asked questions about medicaid renewals pdf. Citizenship or eligible immigration status to qualify for dc medicaid. You can read more about the affordable care act in our obamacare resource center.

    Apply For District Of Columbia Insurance License

    Once you have passed your state licensing exam, you are ready to apply for an insurance license.

    You will be assigned an NPN. This unique identifier is assigned through the licensing application process and is used to track individuals and business entities on a national basis. The NPN is used by many states to replace a producer license number.

    DISB Applications are processed electronically. Twenty-four hours after passing the examination, apply electronically on line at for your insurance license. For any questions or information contact the Department of Insurance, Securities and Banking, at: 

    Government of the District of Columbia Attn: Professional Services Division1050 First Street, NE, Suite 801Washington, DC 20002

    Small Business Health Insurance Reform

    Are you ready for health care reform in 2014?

    Today, employers are more stressed than ever. Heres why:

  • The business environment is uncertain,

  • Employer-sponsored health insurance costs increase annually, and

  • New fees and penalties take effect next year, and most employers dont fully understand how this will affect their financials.

  • It is time for employers to examine the specifics of healthcare reform, and start thinking strategically vs. emotionally. Change is hard. However, employers that educate themselves and plan ahead can avoid severe financial impacts.

    The more change and disruption your business can embrace, the more cost savings you will be able to realize over the long term. In order to embrace this change, you must be familiar with the key aspects of ACA. For many small businesses, the solution to healthcare reform is simple: Offer a Business Expense Account for Healthcare. A new vehicle, called a Healthcare Reimbursement Plan , allows employers to get out of the health insurance business, and simply give select employees monthly allowances to spend on their own health insurance policy in a state health insurance exchange.

    Listed below are key ACA components to consider when choosing small business health insurance. 

    Washington Dc Department Of Insurance Contact Information

    Mailing Address:

    Washington DC Department of Insurance1050 First Street, Northeast, 801Washington, District of Columbia 20002

    Phone:  727-8000

    Information on this page has been gathered by a multitude of sources and was most recently updated in April 2021.

    Any Information on this site is not guaranteed or warranted to be correct, accurate, or up to date. StateRequirement and its members and affiliates are not responsible for any losses, monetary or otherwise. StateRequirement is not affiliated with any state, government, or licensing body. For more information, please contact your state’s authority on insurance.

    When readers purchase services discussed on our site, we often earn affiliate commissions that support our work. Learn More

    Stay Connected: 

    Option 2: Work With An Agent Or Broker

    How to get a COVID

    An agent or broker can help you find a good policy for you because they have experience evaluating health insurance plans. The federal governments Find Local Help tool can help you locate a marketplace-trained private insurance broker. To learn about the greatest number of options and get the least biased advice, you may want to work with a broker that sells both marketplace and non-marketplace plans.

    Health insurance companies pay brokers when they sell policies. Consumers dont pay a fee to brokers, nor do they pay higher premiums to work with them. Agent usually means someone who only sells policies from one insurance company, while broker means someone who sells policies from multiple insurance companies.

    Private insurance brokers may also show you options on private enrollment sites from insurance companies and web brokers. If you want to qualify for subsidies, however, you should apply through or your state exchange.

    The governments health insurance navigators will only show you marketplace plans available through All of these plans are eligible for subsidies, and a navigators help is free.

    Will I Need To Get A New Doctor

    That depends.Major insurance providers, including CareFirst BlueCross BlueShield and Kaiser Permanente, offer DC Health Link plans, but not all doctors accept them. You can talk to your primary care physician or use the Districts online doctor directory to see whether a certain doctor or practice will accept a particular marketplace plan.

    Shopping For Health Insurance In District Of Columbia

    10 Core Health Services Mandated for all ACA Compliant Plans

    Before the Affordable Care Act became Federal law, insurers could refuse to cover various health benefits, resulting in overwhelming debt for many people. The ACA fixed those loopholes and required all qualifying plans to carry these coverages :

    • Emergency services
    • Ambulatory patient services
    • Hospitalization
    • Pediatric services , including dental and vision care
    • Mental health and substance abuse services
    • Preventive and wellness services, including chronic disease management
    • Rehabilitative/habilitative services and devices

    There Are Two Additional Options Available For Residents Of The District Of Columbia Seeking Health Coverage But Who Are Not Eligible For Dc Health Link

    DC Healthcare Alliance

    The DC Healthcare Alliance Program is a managed care health plan that provides medical assistance to District residents who are not eligible for Medicaid. The Alliance serves low-income District residents who have no other health insurance and are not eligible for either Medicaid or Medicare. This program is sponsored and paid for by the District government.

    To be eligible for the DC Healthcare Alliance, you must be a resident of the District of Columbia, meet financial eligibility requirements, not have any other health or medical health coverage and complete a face- to-face interview.

    You may be eligible for DC Healthcare Alliance, if you:

  • Are twenty-one and older;
  • Are a District resident;
  • Have income at or below 200% of the federal poverty level ;
  • Have resources at or below $4,000 for one person and $6,000 for couple or families; and
  • Have no health insurance, including Medicare and Medicaid.
  • Household Size
    • Preventive care
    • Prenatal care
    • Any service provided by a healthcare professional outside of the managed care health plans provider network
    • Vision care
    • Mental/Behavioral health and substance abuse services
    • Non-emergency transportation services
    • Long term care services that extend more than 30 days
    • Cosmetic Surgery

    Individual Health Insurance Tax Subsidies

    Beginning 2014, individuals will have access to tax subsidies to buy private health insurance through the public exchange. These subsidies will be for those who enroll in a silver plan through the exchange. The subsidy caps the cost of individual health insurance at 2% – 9.5% of their household income if their household income is less than 400% above the federal poverty line. This equates to roughly $90,000 per year for a family of four.

    Dc Health Links Robust Small

    DC Health Link is allowing small businesses to enroll in small group plans via the exchange at any time during 2020, even if they cant meet the employer contribution and/or employee participation requirements. Normally, small groups that cant meet the contribution or participation requirements are limited to signing up between November 15 and December 15 .

    As of mid-2015, Congress and their staffers accounted for 16,100 of the small business enrollees in DC. That had fallen to about 11,000 by early 2017, despite the fact that overall SHOP enrollment in DC Health Link had grown considerably, to about 67,000 people . The Grassley Amendment to the ACA dictates that Congress and Congressional staffers can only be offered coverage through the exchangeas opposed to the FEHBP thats available to other federal government employees.

    DC Health Link is the designated marketplace for members of Congress and their official office staff following a rule issued by the Office of Personnel Management, which oversees benefits for federal employees. Congress and their staffers are eligible to continue receiving the federal employer contribution toward their coverage so long as they select a plan through DC Health Links SHOP exchange .

    Csr Funding Fairly Insignificant In Dc

    Throughout the country, the Trump Administrations decision to cut off funding for cost-sharing reductions had a significant impact on premiums for 2018. In many states, insurers had already filed rates based on the assumption that CSR funding would end, and in some of the other states, insurers scrambled to revise their filings to add the cost of CSR during an emergency refiling window that the federal government opened just before the start of open enrollment .

    But in DC, the impact of CSR funding is minimal. Both CareFirst and Kaiser based their proposed rates on the assumption that CSR funding would continue for 2018. The Trump Administration announced in October 2017 that CSR funding would end immediately, although Congress could allocate CSR funding in the future, restoring federal funding for the program.

    But CSR funding has a very minimal impact in the District. DC Health Links executive director, Mila Kofman, explains that only 300 people in DC receive CSR benefits, and the total cost is about $150,000 per year .

    The reason so few people in DC receive CSR is that DC Medicaid covers people with income up to 215 percent of the poverty level . Under the ACA, CSR benefits extend to 250 percent of the poverty level, although theyre most robust for people with income up to 200 percent of the poverty level. But in DC, people with income up to 215 percent of the poverty level are on Medicaid instead of private plans in the exchange, which means theyre not using CSR.

    Dc Has An Individual Mandate As Of 2019

    In the summer of 2017, the DC Health Link board created an ACA Working Group, comprised of insurers, small businesses, brokers, consumer advocates, and health care providers, with the goal of coming up with changes and improvements that DC could make at the local level to stabilize its insurance market and ensure that affordable coverage would continue to be available in the District.

    In January 2018, the Working Group reconvened in order to address two new issues: President Trumps October 2017 Executive Order that called for Association Health Plans to be expanded, and the December 2017 GOP tax bill that repealed the individual mandate .

    In mid-February, the Working Group unanimously voted to recommend that DC implement its own individual mandate. The following week, the DC exchange board approved a resolution calling for an individual mandate in DC, and noting that without an individual mandate, enrollment in individual market plans in DC was projected to drop by 15 percent in 2019, with an associated premium increase of about 7 percent . As of 2018, with the federal individual mandate in place, 96 percent of DCs residents had health insurance.

    In March 2018, DC Mayor, Muriel Bowser, unveiled her proposed Fiscal Year 2019 Budget, which included $1.1 million for implementation of an individual mandate in DC. That money would cover technology adjustments, changes to the DC tax code, and efforts to publicize the local individual mandate.

    Small Business Health Insurance Tax Credits

    DC Residents Without Health Insurance Can Get Covered Now ...

    Small businesses with up to 25 full-time equivalent employees may qualify for a tax credit for offering employee health benefits. The credit is broken in to two phases. Phase 1 includes a tax credit worth up to 35% of a small businesss health insurance costs.  Phase 2 includes a tax credit up to 50% of a small businesss health insurance costs.

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