TV interviews: 178
Radio interviews: 21
Newspaper articles: 14
Flyers: 50,000
Direct mail: 14,000
Outreach calls: 6,500
Door-to-Door: 990
Presentations: 95
1,000 in line at
Insure Central TX
Highland Mall
enrollment center on March 31.
COMMUNITY OUTREACH
4 advertised enrollment + tax centers
Open 7 days week
121 Volunteer Certified Application Counselors
donated 5,625 hours (not including training & certification)
15,000 enrollment assists
5,647 individuals enrolled in QHPs
94% of enrolled qualified for PTC
$15.5 million in annual premium tax credits
36 counties & 165 zip codes served
Meet Adam 28 years old Restaurant employee Est income $17,000
Impact of
Premium Tax Credit
Premium on cheapest Silver plan for 28 year old = $175/month
Based on Adam’s estimated income for 2014, he was eligible for a
premium tax credit of $157/month, so his premium = $18/month
Treasury sends
$157
to insurance
company
Adam sends
$18
to insurance
company
$175
monthly premium
to insurance
company
When Adam files 2014 taxes in 2015, his final premium tax credit
will be based on his reported income for 2014.
Underestimated income? Owe $. Overestimated income? More $ back.
Impact of
Cost-Sharing Reductions (CSR make using insurance affordable)
InsureCentralTexas.org
FPL based on est. income > 250% 201-250% 151-200% 100-150%
Actuarial Value of Plan 70% 73% 86% 94%
Deductible $ 4,600 $3,250 $ 900 $ 500 Out of Pocket Maximum $ 6,300 $4,750 $1,450 $ 750
Standard Silver Plan
with no CSR
Same silver plan
for 100-150% FPL
Significant CSR
9
Est Income - FPL > 250% 201-250% 151-200% 100-150%
Actuarial Value of Plan 70% 73% 86% 94%
Deductible $ 4,600 $3,250 $ 900 $ 500
Out of Pocket Maximum $ 6,300 $4,750 $1,450 $ 750
Total amount Adam owes = $750
+ continue paying $18/mo for premium
Bill for broken femur, surgery, hospital = $55,000
Impact of
Health Insurance
Meet Alma Restaurant employee Single mother of 3
Meet Elder 32 years old
Insure Central Texas is a program of Foundation Communities in Austin, Texas
Elizabeth Colvin
[email protected] 512.554.4409