Plan Design / Admin

  • What's wrong with private exchanges

    November 20, 2014

    Commentary: Private exchanges are not the one-size-fits-all solution some in the benefit industry think they are, says broker Judy Miller. The veteran adviser shares her opinion about the promises and pitfalls of the private exchange solution.

  • Insurance carrier requires ACA exchange certification for all its agents

    November 19, 2014

    Blue Cross Blue Shield is requiring all agents in the individual market in one state be certified to sell in the state’s federally facilitated marketplace — even those who only sell outside of the exchange.

  • Brokers predict increase in employers dropping group health coverage

    November 18, 2014

    A majority of brokers have seen some of their employer clients drop group coverage altogether in reaction to the ACA and double-digit rate increases. That trend, they say, will rise and advisers need to adjust the way they do business if they hope to survive.

  • Obamacare 2015 sign-up under way with few glitches

    November 17, 2014

    On Saturday, the first day of enrollment for 2015 Obamacare plans, the federal insurance website was working well enough that 100,000 people submitted applications, U.S. health secretary Sylvia Mathews Burwell reported.

  • Why can't employers pay for employees to go to the exchanges?

    November 14, 2014

    As an effort to comply with the ACA, some employers have been considering offering employees a lump sum of cash to purchase health care coverage on the exchanges, but the DOL now says such an arrangement isn't going to cut it.

  • SCOTUS to review ACA subsidies; experts predict little change

    November 7, 2014

    The U.S. Supreme Court has agreed to review a challenge to the tax subsidies allowed under the Affordable Care Act, but legal experts predict any high court ruling will have little effect on the law or employers.

  • Supreme court agrees to hear case challenging ACA subsidies

    November 7, 2014

    The U.S. Supreme Court agreed to consider a challenge to the subsidies that are a linchpin of President Barack Obama’s health-care overhaul, accepting a case that suddenly puts the law under a new legal cloud.

  • Recognizing the ACA challenges posed by three-party employment arrangements

    November 6, 2014

    As the Affordable Care Act’s employer mandate becomes effective, applicable large employers that utilize third-parties are faced with figuring out of what it means to make an offer of minimum essential coverage.

  • CMS delays enforcement of health plan identifiers in HIPAA transactions

    November 6, 2014

    In a surprise move, CMS has delayed its enforcement of the use of health plan identifiers in HIPAA transactions. What does this mean for your employer clients and HIPAA compliance?

  • IRS closes ACA minimum value health plan loophole

    November 5, 2014

    The IRS said Tuesday it plans to close a major loophole in the ACA by banning employers who offer medical plans without hospitalization coverage from qualifying as minimum value plans under the health reform law.

  • Little-known ACA enrollment period benefits small employers

    November 4, 2014

    A little-known special enrollment period under the Affordable Care Act allows for small employers to pick up group health care coverage regardless of whether they meet minimum participation or contribution requirements.

  • 5 ACA issues employers should be following

    October 29, 2014

    With the Affordable Care Act’s new reporting requirements fast approaching, employers and their benefit advisers need more than ever to keep abreast of what’s happening with the ever-changing health care reform law. Here are five ACA issues the national law firm Epstein Becker Green says employers need to be following.

  • Despite information gaps, early SHOP access launches in 5 states

    October 28, 2014

    After multiple delays, early access to the federally-facilitated Small Business Health Options Program launched Monday in five states.

  • Uninsured remain unclear about ACA enrollment dates

    October 24, 2014

    Although open enrollment for 2015 Obamacare plans opens in just over three weeks, the uninsured remain unclear about the dates and possible financial assistance available.

  • Utilization of specialty drugs higher on exchanges

    October 22, 2014

    While pharmacy benefits utilization was roughly the same during the first half of 2014 for individuals enrolled in public health insurance exchanges and traditional insurance market plans, a new analysis shows the utilization of specialty drugs is much higher in the HIX marketplace.

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