The Consolidated Appropriations Act requires self-insured plan sponsors to submit a Gag Clause Prohibition Compliance Attestation (GCPCA) to CMS through the HIOS system. The attestation must be submitted by December 31, 2026. However, Diversified Group will submit the attestations to CMS on behalf of our eligible clients to meet the filing deadline. Diversified Group will only [...]
On March 5th, 2025, a blog was published as a legislative alert on Senate Bill 10. Below is an update from Diversified Group as of March 13th, 2025. Diversified Group wanted to provide the latest developments regarding the ongoing discussions in the Connecticut Insurance and Real Estate Committee. The committee has been meeting to vote [...]
Senate Bill 10 is facing a public hearing on Thursday, March 6th from 10am at the state Capitol. This bill will drive up health insurance costs for employers in Connecticut. Anyone with self-funded cases in Connecticut should read the legislative alert from the CBIA below as well as the article that follows. SB 10 is [...]
Connecticut Democrats and Governor Ned Lamont have both put forth proposals that would levy an annual assessment on the state’s insurance carriers and self-funded plans. The Democratic plan includes a public insurance option for small employers (less than 50 employees) in the state and have recommended levying an assessment on the state’s insurance companies that [...]
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 [...]
The Patient-Centered Outcomes Research Trust Fund fee is a fee on issuers of health insurance policies and plan sponsors of self-insured health plans that helps to fund the Patient-Centered Outcomes Research Institute (PCORI), which was established by the Affordable Care Act (ACA). The institute assists, through research, patients, clinicians, purchasers and policy-makers, in making informed [...]
The Patient-Centered Outcomes Research Trust Fund fee is a fee on issuers of health insurance policies and plan sponsors of self-insured health plans that helps to fund the Patient-Centered Outcomes Research Institute (PCORI), which was established by the Affordable Care Act (ACA). The institute assists, through research, patients, clinicians, purchasers and policy-makers, in making health decisions by [...]
The Health Insurance Responsibility Disclosure (HIRD) form is a new state reporting requirement in Massachusetts beginning in 2018. This form differs from the original HIRD form that was passed into law in 2006 and repealed in 2014. The 2018 form is administered by MassHealth and the Department of Revenue (DOR) through the MassTaxConnect (MTC) web [...]
This article was published on September 10, 2018 on BenefitsPro, written by Darick Bradford. Why are more small businesses offering self-funded health benefit plans? I see three big reasons. Source: BenefitsPro “Wait, what’s a self-funded plan again? And why does it make sense for my clients?” These are questions I hear from brokers [...]
While plenty of folks talk about value based, or reference based, pricing as though it’s a fad that has come and gone, we’re finding more interest from employers all the time. This may be because many like to brand it as another form of disruption, but regardless of how you brand it, value based pricing [...]
