The No Surprises Act placed limits and procedures for determining costs on certain out-of-network claims, while the Consolidated Appropriations Act enacted transparency requirements for insurance companies, hospitals, pharmacy benefit managers, and insurance brokers.
Fees to fund the Patient-Centered Outcomes Research Institute (PCORI) are due to the IRS no later than August 1, 2022, from employers who sponsor certain self-insured health plans such as Level Funded and Health Reimbursement Arrangements (HRAs) that are not treated as excepted benefits.
Your company has some choices about what will happen to HRA balances remaining at termination of employment.
Without a leave policy, employers can get into a difficult situation before they know it. It’s a little like trying to get toothpaste back in the tube—you can only fix it going forward
Renewal season is nearly upon us. With it comes the inevitable time crunch convergence of renewals and open enrollment. Here are a few planning tips for your group business.
The final cost of a drug can and does vary wildly and the same drug is never priced the same between insurance carriers.
While the state legislation did curtail costly bills for peripheral services, it did not impact air ambulances. Here’s what you need to know.
These regulations are intended to improve price transparency, as required by the Affordable Care Act.
You cannot visit Social Security Administration offices for an in-person interview. However, a lot can be handled online.
Client retention is a metric of your business’s health and your long-term success. You have the clients—now what are you doing to keep them interested?
The Department of Health and Human Services and the Centers for Medicare and Medicaid Services project that by 2029, roughly 800,000 employers will offer ICHRA, covering more than 11 million employees.
Understand the 8 employee benefit extensions designed to help employees and COBRA beneficiaries during the COVID-19 pandemic
For brokers who want to compete in today’s small group market in Ohio, access to FormFire is essential.
The law requires that each employer offering prescription drug benefits as part of their employee benefit plan must notify any Medicare-eligible participant and the federal government if the coverage offered is at least as good as the standard Medicare prescription drug plan.
From all perspectives, there is no one single cause for the rise in costs, nor is there a single solution to contain them.
In the face of soaring drug prices, consumers have found an ally in their local big box stores, such as Walgreens, Walmart, Kroger, Target, etc. Roughly 4 out of 10 Americans rely on these programs to find savings for their prescription drugs.
As deductibles continue to rise and these numbers continue to grow, it is important to know the ins and outs of HSAs so that we can better advise our clients.
Are you looking to provide even more value for your group clients?
The Trump Administration and the United States Department of Labor (DOL) announced new rules for Association Health Plans (AHP). The new rules allow insurance carriers to expand access to the market for fully insured plans beginning September 1, 2018, and on January 1, 2019, for self-funded plans.
It can’t be said enough: Referrals are one of the most important components of a successful inbound sales strategy.
Many short-term plans come with additional perks and benefits such as wellness, telemedicine, etc.
Add-on products or ancillary sales can account for as much as twenty percent of additional business revenue.
The title of one of my favorite movies, Back to the Future, seems apropos when compared to today’s individual health insurance market. With the Affordable Care Act (ACA) being anything but affordable, many consumers are looking for alternative options to cover themselves and their families.
What if you could provide hope, grow your book of business, and add unique value to help your small business clients save money all at the same time?
If you are at all involved in the sales and/or service of small group insurance products, you have likely encountered MEWAs or been asked to advise on the pros and cons of such an arrangement.
You can create a simple social media strategy that facilitates your business’s growth and augments your communication with customers.
Recently I attended a seminar on what has become the nation’s number one health care crisis: opioid use. It was a wake-up call to some astonishing information. Our industry has begun to feel the devastating effects and so far there is no end in sight.
As ACA premiums continue to rise, so does the need for ACA alternatives.