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Posted November 20th, 2018 in Employers, Producers

It’s that time of year again. The days are getting shorter, the trees are mostly bare, the holidays are just around the corner and open enrollment is in full swing. If you’re like most benefits professionals, you probably head into open enrollment with a mixture of enthusiasm and dread.

Posted October 9th, 2018 in Employers, Producers

Each year employers must provide a written notice to Medicare-eligible employees who are covered under their group health plan. The notice must include information about the creditable coverage status of the prescription drug benefit. In other words, the notice tells employees if the prescription drug benefit on the group health plan is at least as good as the standard Medicare Part D plan.

Posted September 27th, 2018 in Employers, Producers

ERISA Section 607 defines the term group health plan as an employee welfare benefit plan providing “medical care” to participants or beneficiaries:

Posted March 8th, 2018 in Producers, Employers
The Employee Retirement Income Security Act of 1974 (ERISA) requires most employers who offer health and welfare benefits to maintain and distribute Summary Plan Descriptions (SPDs) to all plan participants. This SPD must include certain disclosures and information, such as when the employer may amend or terminate the plan(s).
 
Posted October 28th, 2016 in Producers, Employers

New service keeps you on track!

The world of ERISA, HIPAA, COBRA and general health care compliance is increasingly complex for businesses. Flexible Benefit Service Corporation (Flex) wants to make sure nothing falls through the cracks.

Flex now offers Compliancedashboard® - a turnkey solution to help you make sense of your compliance obligations and minimize your risk. This simple, web-based compliance system gives your organization the information you need, when you need it.

Posted April 18th, 2016 in Producers, Employers
The Health Insurance Portability and Accountability Act (HIPAA) establishes national standards for the privacy and security of protected health information (PHI). HIPAA initially only applied to covered entities, which consist of health plans, health care providers and health care clearinghouses. In 2009, HIPAA was expanded by the Health Information Technology for Economic and Clinical Health Act (HITECH).
Posted March 24th, 2016 in Producers, Employers
Whether it be the ACA, COBRA, ERISA, HIPAA, Section 125, or another regulation, employers can find themselves out of compliance somehow, and they may not even be aware. Here is a list of some common areas of non-compliance, not ranked in any particular order.
 
Posted April 30th, 2013 in Individuals, Employers, Producers

What will the exchanges look like? What are the exchange deadlines? How will subsidies and payments be processed? There constantly seems to be questions about the health insurance marketplaces, also known as the exchanges.

The Center for Medicare & Medicaid Services (CMS) released a progress fact sheet about the exchanges on April 22, 2013. This new information provides additional details about eligibility and enrollment, plan management, financial management, consumer support and more.

Posted January 24th, 2013 in Employers, Producers

The Affordable Care Act (ACA) mandates that all Americans have health insurance or pay a penalty. If you’re an American, just look to the mirror to see who’s going to be affected.

Posted December 13th, 2012 in Producers

Just like a certain beloved movie from the ‘80s that used a DeLorean to take us to the future, we now have a vehicle that can be used today, in 2014 and well beyond – defined contribution health benefits.

Health insurance producers and consultants should educate their clients on the defined contribution benefits strategy now because this trend is not going away anytime soon. In fact, nearly 50% of employers “definitely or probably will” switch to defined contribution in 2013.