Webinar: Reduce Costs (Significantly) for Self-Funded Plans

Posted by Matt Schwartz on Wed, Mar 8, 2017 @ 16:03 PM

The primary reasons employers implement a self-funded medical plan are to gain more control over plan design and avoid taxes, fees and insurance company profits, among other things. If you are self-funded today, you know that there is a never-ending supply of strategies to pursue in order to reduce costs. But, do the issues below sound familiar?  

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Topics: Employee Benefits, Self-Funded Medical, Learning Events

DOL Issues FAQ on Mental Health Parity and ACA Market Reform Provisions

Posted by Matt Schwartz on Tue, Nov 3, 2015 @ 11:11 AM

In October 2015, the Department of Labor (DOL) provided an informational FAQ relating to the Mental Health Parity and Addiction Equity Act (MHPAEA) and Patient Protection and Affordable Care Act (ACA) market reform provisions. 
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, Benefits Plan Design, Self-Funded Medical

Video Education: Small Groups - Self-Funded Options

Posted by Robin Broyles on Tue, Dec 16, 2014 @ 15:12 PM

 Today's Video:
Small Groups - Self-Funded Options

This is an historic time and we've almost reached a state of constant evolution in the benefits world due to health care reform. Business owners, and the professionals they've hired to help them manage benefits, are finding it almost impossible to keep up with the many changes of the Affordable Care Act.

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Topics: Self-Funded Medical, Learning Events

Compliance Recap November 2014

Posted by Robin Broyles on Wed, Dec 3, 2014 @ 12:12 PM

 

The month of November brought a new delay in reporting required from self-funded plans. It also brought several new notices and regulations that may affect sponsors of group health plans and an updated employer guide and health plan compliance checklist from the Department of Labor (DOL).

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Topics: Compliance Issues, Employee Benefits, Self-Funded Medical

HPID Deadlines Approaching

Posted by Robin Broyles on Fri, Sep 26, 2014 @ 08:09 AM

To meet federal requirements, large health plans must obtain a national health plan identifier number (HPID) by November 5, 2014. For this requirement, a large health plan is one with more than $5 million in annual receipts.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, Self-Funded Medical

IRS Issues Drafts of Individual Responsibility Reporting Forms

Posted by Robin Broyles on Mon, Aug 4, 2014 @ 16:08 PM

The following is a summary of draft forms. Some of this information may change when final forms, and the instructions, are released.

In order for the IRS to verify that individuals and employers are meeting their shared responsibility obligations, and that individuals who request premium tax credits are entitled to them, employers and insurers will be required to provide reporting on the health coverage they offer. Reporting will first be due early in 2016, based on coverage in 2015.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, Self-Funded Medical

Self-Funded Health Plans Must Obtain a Health Plan Identifier Number

Posted by Robin Broyles on Mon, Jun 2, 2014 @ 14:06 PM

To meet federal requirements large health plans must obtain a national health plan identifier number (HPID) by November 5, 2014. For this requirement, a large health plan is one with more than $5 million in annual receipts. The Department of Health and Human Services (HHS) has said that since health plans don't have receipts, insured plans should look at premiums for the prior plan year and self-funded plans should look at claims paid for the prior plan year. Small health plans have until November 5, 2015, to obtain an HPID.

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Topics: Compliance Issues, Affordable Care Act, Self-Funded Medical

Prepare to "Pay or Play"

Posted by Robin Broyles on Thu, May 8, 2014 @ 10:05 AM

On February 10, 2014, the IRS issued final regulations on the PPACA employer shared responsibility requirements. The requirements, often referred to as "Play or Pay" were to take effect in 2014. However, the White House announced on July 2, 2013 that compliance would be delayed until 2015.

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Topics: Compliance Issues, Affordable Care Act, Self-Funded Medical

PPACA Has Come and Gone. Now What?

Posted by Matt Schwartz on Mon, Dec 2, 2013 @ 15:12 PM

With the PPACA changes have come a fundamental shift at many companies in the relationship between employers and employees around the issue of healthcare. Now that many companies are responsible for funding healthcare costs for their own employees, it is becoming more important than ever to consider implementing some new programs that will optimize the situation by encouraging employees to pay more attention to healthcare measures.

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Topics: Affordable Care Act, Employee Benefits, Employee Engagement, Self-Funded Medical

PPACA Advisor - Law's Impact on Small vs. Large Plans

Posted by Matt Schwartz on Mon, Sep 23, 2013 @ 14:09 PM

PPACA brings numerous responsibilities and options to employers. Below is a summary of the PPACA provisions that apply to group health plans and whether the provision applies to self-funded plans. 

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, Self-Funded Medical