Set up fees are waived for employers who sign up before March 15th and the app is only $50/user. Contact us soon if you want to learn more.
83% of survey responses indicate that smokers would prefer an app-based program. This app has shown great promise!
Many small and medium size employers, I’d even go as far as saying MOST small and medium size employers, are not aware that the plan documents provided by the carrier (usually referred to as Summary of Benefits and Coverage, SBC’s, benefit summaries and Explanation of Coverage, EOC’s) do not contain all of the information that…
DetailsAnthem members and plan sponsors have received multiple communications regarding a recent cyber attack that compromised the personal information of many members. Anthem has been working with the FBI to understand the impact to their members and create proper security protocol. Affected members will receive communications from Anthem and will have access to Identity Theft…
DetailsMost people have become familiar with the 4 medical insurance metal tier plan names, Platinum, Gold, Silver, Bronze. These names are intended to help explain the level of coverage a plan will provide. There have been some rumblings of a new Copper level plan that would have an actuarial value of 50 percent. As such,…
DetailsPrivate exchanges have been around for some time but they haven’t had the buzz that they do now with Health Care Reform. Although, they are now a regular part of benefit conversations and more exchanges are emerging, fairly few employers have moved to them so far. It is hard to determine how that will change…
DetailsIndividuals are eligible to enroll in individual medical insurance outside of the annual Open Enrollment period if they experience a qualifying event. Loss of your company’s group medical insurance upon termination would be considered such a qualifying event and the former employee could enroll in individual coverage within 60 days. In some cases, the former…
DetailsThe Affordable Care Act requires health insurance carriers to submit information regarding the proportion of premium spent on clinical services and quality improvement, also known as the Medical Loss Ratio (MLR). It also requires them to issue rebates to enrollees if they do not spend at least 80% or 85% of premium dollars on medical…
DetailsThe jury is still out on the ROI of various wellness program strategies, measurability and time frame of results. Some studies show a reduction in the number and size of claims mainly as a result of disease management programs. While other studies show great protection against shock claims by instituting biometric screening, exercise programs and…
DetailsIt’s hard to say whether Hobby Lobby is becoming more famous or infamous as a result of the recent contraceptive decision. In addition, the political argument has been twisted in many interesting ways in the media. Although some media outlets report that Hobby Lobby will not cover contraception for it’s employees, the methods of contraception…
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