In October, a bipartisan group of senators introduced a bill that would ease the ACA reporting mandates for employer-sponsored health plans. The bill would roll back the reporting requirements of Section 6056 and replace them with a voluntary reporting system. The bill would also allow payers to transmit employee notices electronically rather than having to [...]
This article appeared on HartfordBusiness.com on December 18, 2017 from Brooks Goodison, President of Diversified Group. Connecticut health insurers recently announced their 2018 premiums. Employers won’t like them. Rates for some small business plans will rise more than 25 percent. That follows an average increase of 5 percent last year. Many Connecticut firms are understandably [...]
The 2018 Forecast for TPAs & Self-Funding, recently released by the Society of Professional Benefit Administrators (SPBA), expects factors to fuel continued growth and expansion by TPAs and self-funded health benefit plans in the coming year. The most significant of these factors is a growing demand by today's workforce for more personalized benefit offerings that [...]
The article below was published on August 19, 2017 by Green Bay Press-Gazette, written by Mike Ferguson. Photo Source: Minerva Studio, Getty Images Wisconsin lawmakers are at an impasse over the state budget. Senate leaders can't agree with their Assembly counterparts on how to fund road repairs, schools, and various agencies. Resolving this [...]
It used to be that self-funding was limited to only the largest companies that could afford the manpower to administer their own plans. Not anymore.
The May, 2016 issue of The Self-Insurer magazine, Outside the Beltway article discusses how various states - and agencies within states - are challenging self-insured plans through claims tax schemes, limits on stop-loss insurance, demands for propriety data and other burdens. Brooks Goodison, President of Diversified Group, contributed insight, citing specific examples of state burdens [...]
To help self-funded health plans avoid the risk and burden that arises when an adverse benefit determination is appealed, Diversified Group authorizes Phia Group to serve as a Plan Appointed Claim Evaluator (PACE). A PACE assures that all claims have been correctly paid pursuant to the Plan Document. A PACE reviews the employer’s decisions before [...]
