Post Employment Health Insurance

We have been financially secure for Mr. ODA to quit working for years. In fact, the plan was that after he met the requirements for his paternity leave taken (which was essentially work the number of hours you took as leave), he would quit. That goal was met back in early 2023. The hold up for him quitting was always health insurance. Him working wasn’t a huge detriment to our life and things we wanted to do, and he was getting most of his health insurance cost covered by his employer.

Well, at the beginning of 2025, the deferred resignation program was introduced. While the first round was very questionable, our life was greatly affected by his employment and the government over the next few weeks, so it was a no-brainer to take the program during the second round. His last day of work was at the end of April, but he was considered employed and paid through September 30th.

As part of his separation, his health insurance was covered for about another month. He had the option to extend his current insurance for another 18 months after that, and that he’d be responsible for paying the full premium. At the time, it was about $1700, and the 2026 premium is $1900 per month.

MRS. ODA’S INSURANCE OPTION

Meanwhile (just coincidental timing), my current employer was investigating a new insurance policy for their employees across 4 offices. They were originating their insurance through the Ohio office. It was a really expensive policy for them. For the 5 people who were taking advantage of that insurance policy, they could have covered 23 employees on this new policy. We learned that Ohio is one of the most expensive states to originate insurance out of it, so we moved the policy to Kentucky.

Anyway, through that process, the insurance sales person was completely incapable of answering basic insurance type questions. Mr. ODA asked for the brochure of benefits. He said, “I emailed you the summary of benefits.” Mr. ODA pointed out that the summary of benefits was a summary of a much larger document, and we wanted those details. He said that didn’t exist. Mr. ODA called the actual insurance company, and that lady laughed and said they definitely have that.

The policy also required a gap coverage policy. The information given to me did not make me feel like it was going to be a smooth process. It sounded like the doctor’s office would submit the claim to my main insurance company. Once it was processed, I’d have to take my bill and EOB and submit it to the gap coverage company for payment. So I’d have to manage the paperwork processing and the payments between everyone.

Their quote for the family policy was about $1750. I told Mr. ODA that it wasn’t worth all that extra effort and the concern that this insurance policy would even work right (because this sales person was not able to answer questions or quell concerns), just to save about $150.

FINAL DECISION

So in the end, we decided to keep the enemy we know. All of our doctors are now solidly in place since we’ve been in Lexington for 3.5 years. I didn’t want to risk needing to switch to a different doctors office because of eligibility and coverage. I didn’t want to risk the coverage being a fight even more than my current policy creates. But mostly, in case something did end up going awry with this new policy option, we couldn’t get our old policy back. So while adding $1900 to our monthly expenses while losing Mr. ODA’s income isn’t the most ideal situation, this is where we’re at in life.