What is the Member Benefits Private Health Exchange for State Bar of Georgia members?

The exchange is an online marketplace where members, and their employees, can compare and purchase products and services from insurance providers that compete for business within the exchange.

What products are available in the private exchange?

Medical insurance is the main attraction on the private exchange, however other products will be available at specially negotiated pricing, such as dental, vision, disability, accident, telemedicine, identity theft protection, and more. Insurance plans are provided by leading providers.

What is different about the insurance plans in the private exchange versus the public exchange (aka Federally Facilitated Exchange or Health Insurance Marketplace)?

Most health insurance plans available on the public exchange (known as Qualified Health Plans) will also be available, at the same rates, through the private exchange. The private exchange 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 private exchange will have dental plans available. Plans available on private exchange that will not be available on the public exchange include vision, term life, disability, AD&D, wellness, and more.

Can I be turned down for health insurance coverage in the private exchange due to a pre-existing health condition?

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 or private exchange.

How do I gain access to the exchange?

You’ll first need to register for your Exchange Access Code. Visit the Private Exchange page on this site to begin your registration. Once completing registration, you’ll receive your exchange access code that will allow you to create an account and begin shopping for plans.

What about the subsidies I keep hearing about to help me pay for my health insurance?

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 private exchange, 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 and for coverage on the public exchange.

Is the private exchange available to out of state members?

No, 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 private exchange are only available to residents of Georgia at this time.

Do small employers have to pay a penalty for not offering insurance in 2014?

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. And, those employers will not face tax penalties if they decide not to offer their employees group health insurance. An alternative concept to offering group insurance is for small employers to offer their employees additional pay to assist them in purchasing coverage on the public or private exchange.

Can my spouse purchase a plan on the exchange if I do not?

Yes. Your spouse can register through this site and purchase a health plan on the exchange even if you do not. He or she will need to create their own an account and will need your State Bar Member ID# to register for an Access Code to join the exchange.