You may or may not recall that included in the ACA was a Health Issuer Fee charged to all health carriers as a tax to pay for functions of the ACA. You may also recall that in 2017 a moratorium was placed on this tax and now with the recent shutdown bill another moratorium will occur in 2019. So that means we have this tax for 2018. Basically any carrier who has $50 Million or more in health, dental or vision premium is assessed this fee, each in a slightly different number

We started in the telemedicine space about four years ago when we were introduced to Teladoc. At that time Teladoc would not sell to a tiny GA in West Michigan so we accessed it through a giant wholesaler called American Health Holding and a small billing entity named Enroll 123. Our selling Teladoc was very timely and many of our agents introduced Teladoc to their groups. You might recall one very popular post about a toe. This was before the carriers starting adding a te