August 29, 2016

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September is Fruits & Veggies – More Matters Month

We all know that fruits and vegetables contain nutrients with great health benefits. But fewer than 1 in 4 adults eat the recommended amount of fruits every day and fewer than 1 in 7 adults eat the recommended amount of vegetables every day. Eating a healthy diet with plenty of fruits and vegetables can reduce […]

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August 19, 2016

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Electronic Medical Records in 2016 – A Success Story

It’s been three years since we posted “Update 2013-Electronic Medical Records-What’s next?”. Back in 2013, Electronic Medical Records (EMRs) were a relatively new technology most health care providers were working to adjust to.  Since then a great deal of progress has been made in getting doctors and hospital to adopt this new system of recording […]

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August 18, 2016

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Insurance: A Relationship Driven Industry
- Perspectives of a Summer Intern

When going to a restaurant, a waiter who attends to every possible need you may have, while also maintaining a positive and upbeat attitude is more likely to receive a decent sized tip. Likewise, if a waiter at that same restaurant lacks personable skills, or upsets their customer in some way, they are less likely […]

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August 15, 2016

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Alternative to Affordable Care Act Unveiled – Part 2

The House GOP, led by Speaker Paul Ryan released their alternative to the Affordable Care Act (ACA) on June 22. Similar to the original starting point of the ACA, the GOP’s plan read more like a mission statement than a roadmap to change. Ryan emphasized that the plan they released was simply a starting point […]

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August 12, 2016

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Understanding the Medical Loss Ratio

The Affordable Care Act (ACA) requires health insurance carriers to spend a specific percent of premium revenue providing coverage (paying claims, providing clinical services and quality improvement). This requirement is known as the Medical Loss Ratio (MLR). If the carrier does not meet the MLR, it must provide rebates to enrollees. The MLR for small […]

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August 2, 2016

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August is National Immunization Awareness Month

The National Public Health Information Coalition has established this annual observance to highlight the importance of immunizations for people of all ages. Adults may not realize that they need vaccines too. The CDC list three reasons why vaccines are still important for adults: Adults may still be at risk for common diseases. You may have […]

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July 26, 2016

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Still Don’t Have a Summary Plan Description?
-It's time to get compliant before the DOL comes knocking

Summary Plan Descriptions (SPDs) are required by federal law for most group health plans, and the failure to have and distribute one can expose the employer to fines of $110 per day. ERISA, the federal law governing most employee benefit plans, requires group health plans to have a written plan document and provide a SPD […]

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July 18, 2016

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Well-being and the Aging Workforce

According to the U.S. Census Bureau, by the year 2050, roughly 20% of the total U.S. population will be 65 years of age or older. In 2010 the labor force participation rate for individuals ages 65 and older reached 22.1% for men and 13.8% for women, up from 17.7% and 9.4%, respectively in 2000. The […]

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July 8, 2016

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6 Medicare Mistakes to Avoid

With over 55 Million enrollees, Medicare is a massive federal health program that touches nearly everyone. If you’re not enrolled or planning on joining, you probably have a loved one or friend taking part.  If so, then you’ve already heard some of the horror stories about problems, oversights, and miscalculations that leave folks with too […]

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July 1, 2016

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Health Insurance Marketplace Notices
-Don't ignore, but don't overreact

Employers who sponsor medical plans should be on the lookout for notices from “Health Insurance Marketplace.” The Marketplace, which is part of the Department of Health and Human Services (HHS), has begun notifying employers when an employee has enrolled in Marketplace coverage and been found eligible for a subsidy. Naturally, many employers are concerned about […]

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June 30, 2016

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New OSHA Reporting and Drug Testing Rules

On May 11, 2016, the Occupational Safety and Health Administration (OSHA) published a rule that will revise its Recording and Reporting of Occupational Injuries and Illnesses regulations. The changes establish a new system in which many employers will be required to submit to OSHA reportable injury and illness information on an annual basis through a […]

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June 29, 2016

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PCORI Fees Are Due July 31, 2016
-Employers with self-funded plans or self-funded HRAs must comply

The annual fee for the Patient Centered Outcomes Research Institute (PCORI) is due July 31, 2016.  If you need a quick refresher on PCORI, we have previously written about the PCORI fee and who is required to pay it. Generally speaking, self-funded medical plan sponsors are responsible for reporting and paying the PCORI fee using Form […]

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