Zane Benefits Publishes New Information on Vermont Health Insurance Exchange

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New Insurance Options Available to Vermont Individuals and Small Businesses This Fall

Today, Zane Benefits, Inc. published a new information on the Vermont Health Insurance Exchange. Zane Benefits, which provides comprehensive and flexible alternatives to traditional employer sponsored health benefits, is the leader in health care reform, defined contribution and health reimbursement arrangements.

According to Zane Benefits’ website, starting in 2014 as part of health care reform, health insurance coverage for individuals and small businesses will become available through new state health insurance exchanges. Most importantly, the key tax credits (e.g. the small business healthcare tax credits) and tax subsidies (e.g. individual health premium subsidies) will only be available for coverage purchased through their state health insurance exchanges.

Under health care reform, there will be an exchange (also called "marketplaces") in every state. All states have three options for setting up a state health insurance exchange for 2014: build a state-based exchange, enter into a state-federal partnership exchange, or default to a federally-facilitated exchange.

Vermont plans to offer a state-based exchange that will open October 1, 2013 (for coverage starting January 1, 2014) under the name "Vermont Health Connect."

Vermont Health Insurance Exchange

According to Zane Benefits’ website, the Vermont Health Insurance Exchange will be a marketplace where Vermont individuals, families and small businesses can compare health plans and select a plan that fits their needs and budget. All plans offered through Vermont Health Insurance Exchange will by Qualified Health Plans (QHPs), meeting federal guidelines. According to Vermont Health Connect, the Exchange website will have easy-to-understand, side-by-side comparisons of plan’s costs and benefits.

The Vermont Health Insurance Exchange will also provide information on tax credits and public programs. The Exchange will provide assistance to residents selecting a health plan or using the website by phone or in person.

The Vermont SHOP exchange will be available for small businesses with 50 or fewer employees starting in 2014. In 2016, small businesses with 100 or fewer employees will be able to offer coverage for their employees through Vermont's SHOP Exchange.

According to, 44,105 or 8% of Vermont’s non-elderly residents are uninsured, of whom 37,179 (84% of these) may qualify for either tax credits to purchase coverage in the Marketplace or for Medicaid if Vermont participates in the Medicaid expansion. Vermont currently supports Medicaid expansion.

History of Vermont Health Insurance Exchange

According to Zane Benefits’ website, Vermont is approaching the health care reform differently than many other states. On May 26, 2011, Governor Peter Shumlin signed into law HB 202, a state health reform law that puts the state on a path toward establishing a single-payer health care system. As an interim step, the law created the Vermont Health Benefit Exchange to meet the requirements of federal health reform.

The state plans to offer a state-based exchange as part of federal health reform, and in 2017 the state plans to apply for a federal Waiver for State Innovation to transition to Green Mountain Care, the new public-private single-payer system that will provide coverage for all state residents. In May 2012, the Governor signed additional health system reform legislation further defining the role and duties of the Green Mountain Care Board and the Exchange (HB 559).

On January 3, 2013, Vermont received conditional approval from the U.S. Department of Health and Human Services (HHS) to establish a state-based exchange.

Plans Available Through the Vermont Health Insurance Exchange

According to Zane Benefits’ website, Vermont has released preliminary premium rates on their website. The rates, which are subject to regulatory review, will range from $1,700 for premium family coverage to $745 for catastrophic coverage. For a single person, rates will range from $600 for premium coverage to $265 for catastrophic coverage. These rates do not take into account the premium tax credits that will be available to most individuals and families

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About Zane Benefits
Zane Benefits was founded in 2006 to provide a revolutionized SaaS (Software-as-a-Service) administration platform ("ZaneHRA") for Health Reimbursement Arrangements (HRAs) and defined contribution health care. The flagship software provides a 100% paperless administration experience to employers and insurance professionals that want to offer better health benefits without a traditional group health insurance plan at lower costs. For more information about ZaneHRA, visit

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Christina Merhar
Zane Benefits
800-391-9209 6725
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