Useful Apps – HealthAdvocate
ad·vo·cate (verb – used with object) to act in support or in behalf of another; intercessor Synonyms – champion, proponent, backer Do your employees need help navigating the healthcare system? Are they spending valuable time on hold trying to manage their health care needs? Family member needs? Losing productivity? This App is for you. Use […]
IRS Clarifies PEOs Position on Eligible Employer-Sponsored Plans
Final IRS regulations clarified PEOs can offer eligible employer-sponsored coverage on behalf of an employer. In the introductory statement to the final regulations it unambiguously states that organizations such as PEOs can offer coverage under an eligible employer-sponsored plan on behalf of an employer, yet not be viewed as the employer by reason of offering […]
Exchange Notice Deadline is Oct 1 – What you need to know
Employers must notify employees about health insurance available through state and federal exchanges by October 1, 2013. Who gets notified You must send a notice to all full- and part-time employees, whether or not they are on your group health plan. You do not have to notify employees’ dependents or others who are eligible for […]
The Mouth-Body Connection
Open wide! – Your mouth can tell a lot about your body’s health. It is a window into many health issues throughout the body. More than 3 out of 4 American adults suffer from various forms of periodontal (gum) disease and many don’t know it. This is concerning because infections can be caused by periodontal bacteria […]
Payroll Vendors Play Critical Role In ACA Analysis
Payroll vendors and PEO providers have all the information needed to run the critical analyses need to comply with the complexities of PPACA. Your companies partnership with your payroll or PEO vendor should equip you with tools to help consult and support you through the many phases of the PPACA. While some providers offer insight […]
Useful Apps – iTriage
tri·age (n) – the practice of sorting medical conditions to determine priority for treatment. Founded by two emergency medicine physicians, iTriage® is a free mobile app and website that helps answer the two most common medical questions: “What could be wrong?” and “Where can I go?”. It does not replace a doctor, but it can help […]
Delay in ACA Employer Mandate: Opportunity to Regroup
Not All ACA 2013 Tasks Postponed Don’t be fooled! Not all aspects of healthcare reform are postponed. Employers face other compliance requirements during or by the end of 2013. Examples: Reducing waiting times for plan eligibility to no more than 90 days; Complying with the rules for the Patient-Centered Outcomes Research Institute (PCORI) fee; and […]
Medical Loss Ratio (MLR) Rebates
Checks will soon be going out to groups from the insurance carriers that represent a rebate of premiums on health insurance costs. Under PPACA Health Care Reform insurance carriers are required to adhere to certain Medical Loss Ratio (MLR) guidelines. If a group’s particular MLR is lower than specified thresholds, the carrier must issue a […]
4 Things Employers Should Know About Providing the Health Insurance Exchange Notice
Notice Must Be Distributed to Current Employees No Later Than October 1, 2013 Following a delay in the original effective date, employers will need to comply with the new requirement to provide each employee a written notice with information about a Health Insurance Exchange (also known as a Marketplace) beginning this fall. Below are four […]
ACA Plan Affordability – Safe Harbors
Under the Employer Mandate (delayed until 2015) of the Affordable Care Act (PPACA), large employers must offer their full-time employees (and their dependents) the opportunity to enroll in “Affordable” coverage. Employers that offer their employees the opportunity to enroll in coverage will be penalized if the coverage is “unaffordable” or does not provide “Minimum Value,” […]