Employee Benefit Advisors

Obamaco$t comes with Obamacare

Have you heard federal officials sate “Premiums before tax credits will be more than 16 percent lower than projected?” They are referring to the weighted average of the second lowest cost silver plan for 48 states (including DC) based on the ASPE-derived Congressional Budget Office. Sounds good, until you dig deeper. The key word is […]

Two Court Cases pose significant threat to PPACA

Employee Benefit Advisors has been following two court cases that have been falling under the radar. These cases could dismantle health care reform as we know it. _____________________ Excerpts from Employee Benefit News September 27, 2013 by Serena Yee and Christie Daly The ACA requires the creation of a health insurance exchange in each state […]

PPACA: It’s Oct 2 – Now what?

October 1 was a very significant date for the implementation of PPACA as the individual exchanges went live. However, there were reports from many states with problems with the rollout and not all exchanges were activated on schedule. Both the online small business markets known as SHOP exchanges and the Spanish language exchange are delayed. […]

Reminder: Medicare Part D Creditable Coverage Notice Due by October 15th

With all the attention to the ACA requirements for 2013 and 2014 it’s easy to lose sight of other benefit and human resource requirements. The Medicare Part D Creditable Coverage Law affects all employer-sponsored group health plans. Entities are required to notify Medicare eligible policyholders whether or not their prescription drug coverage is creditable. Creditable […]

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 […]

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 […]