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Fewer Spouses Covered on Employee Benefit Plans


This article was published on August 5, 2019 on IFEBP.org written by Lois Gleason, CEBS. More and more employers are seeking cost savings by discouraging or blocking employees from enrolling a spouse in the employer’s health plan. Here’s what you need to know about the growing trend of spousal carve-outs: Image Source: IFEPB.org [...]

Fewer Spouses Covered on Employee Benefit Plans2019-08-21T08:00:05+00:00

Can Your Plan Recover Money It Wasn’t Responsible for Paying?


That’s What Subrogation and Reimbursement Are All About When a plan member requires medical treatment following an injury or accident, their health plan is almost always the first line of defense. In some instances, however, the responsibility for medical treatment should really lie with another insurance plan, such as the member’s auto policy or workers [...]

Can Your Plan Recover Money It Wasn’t Responsible for Paying?2019-08-15T08:00:08+00:00

Is Direct Primary Care the Future?


A fee-based model that gives individuals unlimited access to a primary care physician without their insurance being billed is being heralded as the right prescription for healthcare. Most patient needs, such as consulting, tests, drugs and treatment are included, and no insurance billing is involved. Sources estimate there are about 1,000 direct primary care practices [...]

Is Direct Primary Care the Future?2019-08-08T08:00:45+00:00

Get Eligibility Right the First Time or Pay for It Later


Missing, incorrect, or late information regarding eligibility can lead to mistaken interpretation of coverage, no coverage/denied claims, or incorrect participant information. These can all lead to overbilling, underbilling, and claim payment errors. Additionally, eligibility errors can “over-obligate” the plan by allowing an invalid member to linger on the plan, for example: enrolling in COBRA for [...]

Get Eligibility Right the First Time or Pay for It Later2019-08-02T08:00:18+00:00

Flexibility Means Retention


Research reported by the Execu Search Group shows that flexibility may very well be the key to keeping millennials engaged. Allowing more vacation time, better training and a more flexible work schedule, including the ability to work at home when needed, are keys that will make young people happier and more productive. The SHRM says [...]

Flexibility Means Retention2019-08-01T08:00:32+00:00

ACA Affordability Percentage for 2020


On July 23, 2019, the Internal Revenue Service (IRS) issued Revenue Procedure 2019-29 which indexes the contribution percentages for 2020 for purposes of determining affordability of an employer’s plan under the Affordable Care Act (ACA). For plan years beginning on or after January 1, 2020, employer-sponsored coverage will be considered affordable if the employee’s required contribution for self-only [...]

ACA Affordability Percentage for 20202019-10-02T19:00:22+00:00

Mental Health Days


As more workers struggle with stress in and out of the workplace, some are requesting time off in order to cope. This is not a problem for companies with sick-day policies that allow employees to use their paid personal days for any reason. In other workplaces, people who are honest about asking for a mental [...]

Mental Health Days2019-07-25T08:00:05+00:00

House Votes to Repeal the Cadillac Tax


On July 17, 2019, the U.S. House of Representatives voted across bipartisan lines to repeal the ACA’s Cadillac Tax. The final vote in the House was 419-6 in favor of repeal. The tax was designed as a penalty tax on high-value health coverage, to convince health plan sponsors to reduce benefits and keep costs down by [...]

House Votes to Repeal the Cadillac Tax2019-07-22T10:57:06+00:00

Isn’t Everyone Entitled to Know the Cost of Care?


The President’s Executive Order Demands Healthcare Cost Transparency We have long chronicled the huge price swings that often exist among healthcare providers in the same locales. To combat this situation and help patients find low cost, high-quality care, the President recently signed an executive order directing HHS to develop rules requiring hospitals to publish clear [...]

Isn’t Everyone Entitled to Know the Cost of Care?2019-07-11T08:00:13+00:00

Connecticut Paid Family and Medical Leave Law


On June 25, 2019, Governor Ned Lamont signed into law Connecticut’s Paid Family and Medical Leave law. Below are some highlights from the new law: Connecticut Paid Family and Medical Leave Law Key Dates June 25, 2019 – CT Governor signs legislation into law; January 1, 2021 - Employee payroll tax begins; January 1, 2022 [...]

Connecticut Paid Family and Medical Leave Law2019-07-01T11:03:28+00:00