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 [...]
A plan management best practice is to collect and store employee waivers when an employee chooses not to enroll on the group health plan, even if the insurer or TPA does not require employers to submit them. These waivers serve as documentation of the employer’s offer of coverage and the employee’s decision to decline it. [...]
Before December 31, 2024, self-insured plan sponsors are required to file a gag clause attestation with CMS using the HIOS system. For self-insured clients, uploading the attestation is a plan sponsor responsibility under the Consolidated Appropriations Act. However, Diversified Group will submit the attestations to CMS on behalf of our clients in time to meet the [...]
Before December 31, 2023, self-insured plan sponsors are required to file a gag clause attestation with CMS using the HIOS system. For self-insured clients, uploading the attestation is a plan sponsor responsibility under the Consolidated Appropriations Act. However, Diversified Group will submit the attestations to CMS on behalf of our clients in time to meet the [...]
Early this month, the DOL issued the model notices to be used for the COBRA subsidy that is part of the American Rescue Plan Act (ARPA). In addition, the EBSA has issued FAQs that address some of the outstanding items surrounding the subsidy. This initial guidance does not include details on administering the employer tax credit [...]
This article was published on September 21, 2020 on Hartford Business. Photo source is Hartford Business Journal. 1st Place | Category: 2 to 99 Employees Diversified Group Brokerage Headquarters: Marlborough Industry: Health insurance Top Executive: Brooks T. Goodison, President When the COVID-19 pandemic forced Diversified Group to work remotely, the third-party health plan administrator wanted [...]
This article was published on August 30, 2019 on the HR Daily Advisor written by Eileen Clark, Senior Vice President of Human Resources, ELAP Services. Large employers currently pay about $500 more in healthcare costs per employee than they did just a year ago—money every company would love to have back. With healthcare costs increasing yearly, many [...]
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 [...]
If your plan isn’t managing eligibility at enrollment, you’re probably throwing money away! Managing eligibility in a self-funded environment can place a big burden on HR Directors, not only at enrollment, but throughout the year. Employee benefit elections, dependents and beneficiaries must be monitored consistently and then there are new hires and terminations to deal [...]
Can the cost of a hip replacement in Philadelphia really vary from $11,000 to $125,000? From white papers to published books, much has been written about how difficult it can be to find out what a hospital stay or outpatient procedure will cost. And as Anna Wilde Mathews observed in her article Lifting the Veil [...]
