September 28, 2016

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Health Insurance Tax Moratorium
-For 2017 Only

Last December, Congress passed a spending bill. That particular spending bill garnered attention nationally because of several provisions it included; most notably, a two year moratorium of the so-called Cadillac tax. But another provision in that spending bill will result in more immediate consequences for consumers: a one year suspension of the Health Insurance Providers […]

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September 28, 2016

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TRF Deadlines Coming Soon

The Transitional Reinsurance Fee (TRF) is a three year ACA program designed to ease the shock of rising premium costs due to the influx of individuals enrolling in medical coverage for the first time. By design, the TRF declined each year, from $63 in 2013 to $27 in 2016. The good news is that 2016 […]

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September 20, 2016

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Medicare Part D Creditable Coverage Notice Requirement

Group health plan sponsors that provide prescription drug coverage to Medicare Part D eligible individuals must disclose whether their plan is creditable. “Creditable” refers to whether the actuarial value of the prescription drug coverage equals or exceeds that of the standard Part D coverage. Plan sponsors must disclose their creditable status in two ways: filing […]

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September 11, 2016

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Healthcare Reform Webinar
September 9, 2016

If you weren’t able to attend our most recent Healthcare Reform Webinar, you can access a recording of the webinar here. The slides are available here.

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September 11, 2016

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Employer Social Media and Technology Policies
Chipotle is the latest target of the NRLB

It all started with a little extra guacamole…and ended up violating the National Labor Relations Act (NLRA). Does this leave you scratching your head wondering how in the world these two things would even be connected? Well Chipotle was too. In January 2015, a Chipotle employee tweeted complaints about how much the company charged for […]

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September 9, 2016

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Summary of Benefits and Coverage
- Final April 2016

The final SBC is the product of over a year long process of revising the original SBC issued in 2012. On April 6, 2016 the Department of Labor issued the final regulations of the new Summary of Benefits and Coverage (SBC) intended for use as of January 1, 2017. The Summary of Benefits and Coverage […]

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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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