Search results “Group health plan and reform”
Health Care reform and its affects on individual and group health insurance coverage.
http://www.moorebenefitsinc.com/video-center/ A lot of people are wondering how the new health care reform will affect them? And, it will impact everybody in some way, I think the way that it's going to be most helpful is that it will increase access to health care to alot of Americans. The very first segment who will be impacted are people under the age of 26. Employers who offer health coverage to their employees and who provide dependent coverage will be required to allow employees to keep dependents on the health coverage up to age 26 and that's even if they're married and not dependant upon them for support. Another increased access is that an insurance company will no longer be able to limit coverage to people who have pre-existing conditions. That means people who are already experiencing health problems will still be able to get insurance which is exactly what insurance is there for. If you are an employer and you offer health insurance to your employees you may be eligible for a small business tax credit. You have to have less than 50 employees and there are income guidelines which may or may not apply to you. In 2014 when most of the provisions roll out if you're an employer and you have 50 or more employees, you'll be required to offer health insurance to those employees. Where as right now, employers are not required to offer health care to employees. If you have over 50 employees and you don't offer health insurance and your employees have to use a voucher to get it through the state exchange, you'll be penalized 2000 dollars per employee per year. And so, if you're an individual and you don't have access to employer sponsored health coverage, you'll still be required to buy health insurance and if you don't, there will be a penalty. And so, I think overall, more people will be in the system and the thought is, that the more people who are insured, the more we're able to level the costs among the population. Because the fact of the matter is, we're paying for the uninsured's health coverage anyway, 'cause the costs of the uninsured are shifted on to the private pay people. So I think overall it will be a positive thing.
Views: 299 havingfun200
Health care reform  employer-sponsored group health plans
Uploaded by HighmarkHealthy on Feb 14, 2011 This video provides information about changes that came about on September 23, 2010 related to the Patient Protection and Affordable Care Act, also known as health care reform, and what those changes mean for individuals who have employer-sponsored group health plans. ____________________________________________________________ How To Get All The Patient Referrals You Can Handle!!!As a health care provider you know that the majority of your new patients come from referrals from existing patients and other physician practices. How would you like to be able to send cards like these to your patients and referrals sources automatically with the click of a button? Just think how much that would grow your patient base and increase your revenue!!! Click for more information: https://www.sendoutcards.com/129125/ Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting services. To learn more about Atlantic Financial Consulting you may visit their website at http://atlanticfinancial.us or contact Dallas L Alford IV, CPA directly at 1 888-428-2555, Ext. 200.
Views: 43 1atlanticfinancial
Ways to Sell Group Health Insurance : Selling Insurance
Subscribe Now: http://www.youtube.com/subscription_center?add_user=Ehowfinance Watch More: http://www.youtube.com/Ehowfinance There are a variety of different ways in which you can sell group health insurance depending on your own personal preferences and style. Learn about the ways you can sell group health insurance with help from an independent insurance agent and small business owner in this free video clip. Expert: Melissa Morley Filmmaker: Scott Studach Series Description: Understanding how the insurance industry operates is something you have to do before you can even hope to be successful at selling insurance. Find out more about the insurance industry and get tips on how to be successful as an insurance salesperson with help from an independent insurance agent and small business owner in this free video series.
Views: 2801 ehowfinance
Employers: Save 30+ Percent on Your Group Health Plan
Terpstra Benefits Insurance Solutions Health care reform has changed the landscape for employers. Learn why industry insiders predict that many smaller employers will be dropping their group health plans and offer individual plans for their employees. Your business (under 50 employees) can save thousands - or perhaps tens of thousands of dollars - per year when you convert your employees to individual plans, and your employees can save as well! Contact us to find out how and we'll guide you through the process! Scott Terpstra (License #0633894) Phone: (800) 705-1908 Direct: (916) 705-1322 scott@terpstrabenefits.com
Views: 100 TerpstraBenefits
Philadelphia Group Health Insurance   I   Health Reform Notice of Exchange
http://www.gmgins.com/ Philadelphia Group Health Insurance: Health Reform Notice of Exchange Under the Affordable Care Act, employers are required to reach out to each employee with a written notice providing information regarding the new Health Insurance Marketplace (previously called the Health Insurance Exchange). The notification requirement was initially effective March 1, however the Department of Labor delayed it until after the guidance is issued. Here is a breakdown of what you need to know about employee notification: Who is Required to Provide the Notice? All employers subject to the Fair Labor Standards Act (FLSA) are required to provide the Notice of Coverage Options to employees regardless of whether or not they offer a health plan. Providing the notice is the sole responsibility of the employer- insurance carriers and third-party administrators of group health plans are not responsible for providing notice on behalf of an employer. Who Must Receive the Notice? Every employee should receive a Notice of Coverage Options, regardless of plan enrollment status or if they are part-time or full-time. However, employers are not required to provide the notice to employees' spouses or dependents. When & How Must the Notice Be Provided? New hires must receive the Notice when they are hired beginning October 1, 2013. All current employees should receive the Notice no later than October 1, 2013. The Notice must be providing in writing understandable to the average employee- it may be provided by first-class mail and/or electronically if the requirements of the DOL's electronic disclosure safe harbor are met. Below are two links for Model Notice of Coverage Options- one for employers who offer a health plan to employees and a model Notice for employers who do not offer a health plan. Model Notice for employers who offer a health plan to some/all employees: www.dol.gov/ebsa/pdf/FLSAwithplans.pdf Model Notice for employers who do not offer a health plan: www.dol.gov/ebsa/pdf/FLSAwithoutplans.pdf If you have any questions about our Philadelphia Group Health Insurance, please contact our Group Benefits Department at groupbenefits@gmgins.com or call us at 855-407-4450. Source: http://www.gmgins.com/blog/philadelphia-group-health-insurance-health-reform-notice-of-exchange
Healthcare Reform: Summary of Benefits and Coverage
All group health insurance plans are required to have an easy-to-understand summary of benefits and coverage. http://www.bcbsla.com/State/Pages/Benefits.aspx This requirement applies to all health plans whether through an employer or through the health insurance marketplace. The Affordable Care Act requires that all health insurance plans use the same summary form provided by the federal government. This includes a uniform glossary of terms commonly used in health insurance coverage and coverage examples. These are a comparison tool that allow you to see what the plan would generally cover in common medical situations. The Summary of Benefits and Coverage (SBC) must be provided at key times, such as during open enrollment. And, anyone can request an SBC when shopping or enrolling for coverage.
Webinar: How to Manage Your Group Health Plan Costs
With or without federal health reform, self-funded health plans face a future of rising costs that need to be managed. Are you ready? This webinar takes you through the ten checkpoints that make sure you're ready. How many checkpoints have you passed already? How many remain? In addition to this self-assessment, attendees will learn how to approach each checkpoint, and what to expect as they progress on their health plan cost management "journey." For a copy of the full webinar recording, please contact Health Decisions at http://www.healthdecisions.com/contact-us.
Simplicity Health Plans Learn About It Part 1 of 2 Healthcare Reform CDHP
All About Simplicity Health Plans and how it could save your company a substantial amount of money and still provide an excellent self funded small group health plan from 2 to 250 employees. Also how we can save large self funded companies millions. First of two parts on how you can best implement a Consumer Directed Health Plan with an HSA or HRA and eliminate the debit card, most fraud, member bills and much more. We have the technology now to help solve the vexing problem of run away premiums and health care expendetures. Health Reform, CDHP, HSA, Simplicity Health Plans, Gregory Hummer
Ron Wineholt on Small Group Health Insurance Reform
Maryland Chamber Vice President Ron Wineholt discusses legislation that would introduce market-based reforms into Maryland's Small Group Health Insurance Plan.
10 Reasons to Offer Employee Group Health Benefits_and why it is beneficial for everyone!
please like, share and subscribe to our channel! https://www.youtube.com/channel/UCUT2dLC-nsm36IzOkemXRbA There are many reasons to offer group health insurance. Employee Group Benefits 1. Attracting and retaining the most qualified employees - Offering health insurance benefits along with competitive salaries, profit sharing, bonus programs, pension plans, paid time off, and tuition reimbursement is a powerful tool to attract and retain the most “brilliant” employees. 2. Increasing Profits with more productive employees- By focusing on preventative care, the health insurance plans may improve the quality of life for employees and their families – and this is a return on investment to the business, to employees, and to our communities 3. Avoiding Health Care Reform assessments- Starting in 2015, employers with 50 or more full-time equivalent employees are required to offer affordable, minimum-value group health insurance. If they don’t, they may be assessed government penalties.. 4. Gaining Tax Advantages - Employers can deduct 100 percent of their employees' health insurance cost as a business expense. If the business is incorporated, the business owner’s own insurance costs are also deductible. 5. Receiving a Tax Credit - Small businesses with fewer than 25 employees may be able to receive a tax credit if they purchase small group health insurance for their employees and meet other criteria. 6. Passing along the lower health insurance costs to the employees - If you have 50 or more employees, you may find that our large group health insurance rates are lower than individual rates. Your employees may pay less and it makes a great addition to your business’s benefits package 7. Lessening financial worries for employees - With health insurance, employees feel more secure knowing they can pay medical expenses, especially in an emergency. That peace of mind can mean more focused and loyal employees. 8. Making employees feel valued. Employees will go the extra mile if they feel responsible for the results of their work, have a sense of worth in their jobs, believe their jobs make good use of their skills, and receive recognition for their contributions 9. Building higher morale – access to healthcare reduces employee absenteeism, and improves health and morale. Also it helps strengthen an organization’s culture and build employee pride, trust, and commitment. 10. Benefiting the entire society - The potential economic value to be gained in better health outcomes from uninterrupted coverage for all Americans is estimated to be between $65 and $130 billion each year.
Employee benefits specialist Kelly Moore addresses group health plan vs. individual plans
http://www.moorebenefitsinc.com/video-center Group health or individual plan? (transcribed from video interview with Kelly Moore, CEO Moore Benefits Inc. http://www.moorebenefitsinc.com/video-center ) If you're a small business owner and you want to offer health insurance to your employees and you're asking yourself: should I have a group health plan or just have everyone buy their own individual policy? The answer is definitely a group health plan and that's true for a number of reasons. Number one is that individual policies are not guaranteed. If one of your employees has any sort of health condition or if their dependents have any sort of health condition they can and will be denied coverage. And then you don't a benefit to offer them. As opposed to a group health plan, once that plan is in place, every employee and all of their dependents are accepted into this health plan regardless of their health condition. Another component as a business owner is that you may fully deduct the cost of the health insurance that you pay towards your employees. And every dollar in compensation that you pay in benefits as opposed to cash wages reduces your taxes. It's completely deductible with no limits. Individual policies are not deductible from a business stand point. The employees will have to pay for that on their own, the business will not be able to pay it and if you reimburse them, it's not deductible. So, for those two reasons if you want to offer an employee benefits program, a group health plan is the way to go. Talk to your tax advisor for more information on that.
Views: 1000 havingfun200
How Do I Choose the Healthcare Plan That is Right for Me? | Humana
Be sure to visit https://www.humanahealthcarereform.com for more information around reform | Balancing cost and coverage is the key to choosing the right healthcare plan. Find out the deductibles, co-pays, co-insurance percentages and the maximum out-of-pocket expenses you'll have to pay for the year to help you decide. Check out http://youtube.com/Humana for more videos or http://bit.ly/14yfhqg for more videos on healthcare reform. Be sure to follow Healthcare For You on Twitter: http://twitter.com/Healthcare_4You and Facebook: http://on.fb.me/17Tqda6 Subscribe to the Humana YouTube Channel http://bit.ly/Humana_YouTube For 50 years, Humana, headquartered in Louisville, Kentucky, has been an innovator with a commitment to service, health and wellness. Our focus on people, choice, engagement and innovation guides our business practices and decision-making. In addition to group health plans, Humana's diverse lines of business position us to serve millions of people with a wide range of needs, including seniors, military members and self-employed individuals. Website: https://www.humana.com Facebook: https://www.facebook.com/humana Twitter: https://twitter.com/humana Google+: https://plus.google.com/+humana
Views: 52623 Humana
Simplicity Health Plans Learn About It  Part 2 of 2 Healthcare Reform CDHP
All About Simplicity Health Plans and how it could save your company a substantial amount of money and still provide an excellent self funded small group health plan from 2 to 250 employees. Also how we can save large self funded companies millions. First of two parts on how you can best implement a Consumer Directed Health Plan with an HSA or HRA and eliminate the debit card, most fraud, member bills and much more. We have the technology now to help solve the vexing problem of run away premiums and health care expendetures. Health Reform, CDHP, HSA, Simplicity Health Plans, Gregory Hummer
Selling Health Insurance: A Roadmap to Success
Health insurance, sales tips, business, group insurance, individual insurance, Medicare, healthcare reform, ACA, affordable care act, small group, commissions, sales path, sales success
Medical Group Management Provisions in Health Care Reform
http://medicalaccessforamerica.com The Patient Protection and Affordable Care Act (health care reform) has many provisions in it that directly affect medical group management. Provisions include prohibition on recissions, extension of dependent coverage. prohibition of preexisting conditions, tax credit for small business employee health insurance expenses, payment for bone density tests, misvalued codes under physician fee schedule, elimination of co-pays, incentives for prevention of chronic diseases, immunizations, nursing student loan repayment, financial assistance for primary care physicians, and expansion of primary care. A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not rescind such plan or coverage with respect to an enrollee once the enrollee is covered under such plan or coverage involved. A group health plan and a health insurance issuer offering group or individual health insurance coverage shall provide preventive care and screenings to infants, children, adolescents, and young adults. A group health plan and a health insurance issuer offering group or individual coverage shall continue to make such coverage available for an adult child (who is not married) until the child turns 26 years of age. A group health plan and a health insurance issuer offering group or individual health insurance coverage may not impose any preexisting condition exclusion with respect to such plan or coverage. An eligible small employer, the small employer health insurance credit amount is 50 percent (35 percent in the case of a tax-exempt eligible small business). For purposes of identifying potentially misvalued services pursuant to clause (i)(I), the Secretary shall examine (as the Secretary determines to be appropriate) codes (and families of codes as appropriate) for which there has been the fastest growth; codes (and families of codes as appropriate) that have experienced substantial changes in practice expenses; codes for new technologies or services within an appropriate period (such as 3 years) after the relative values are initially established for such codes; multiple codes that are frequently billed in conjunction with furnishing a single service; codes with low relative values, particularly those that are often billed multiple times for a single treatment; codes which have not been subject to review since the implementation of the RBRVS (the so-called `Harvard-valued codes'); and such other codes determined to be appropriate by the Secretary. Elimination of coinsurance (co-pay) on preventive services (ie. physical exams) in outpatient hospital settings. Incentives for prevention of chronic diseases. A program described in this paragraph is a comprehensive, evidence-based, widely available, and easily accessible program, proposed by the State and approved by the Secretary, that is designed and uniquely suited to address the needs of Medicaid beneficiaries and has demonstrated success in helping individuals achieve one or more of the following: ceasing use of tobacco products, controlling or reducing their weight, lowering their cholesterol, lowering their blood pressure, avoiding the onset of diabetes or, in the case of a diabetic, improving the management of that condition. The Secretary shall establish and carry out a pediatric specialty loan repayment program under which the eligible individual agrees to be employed full-time for a specified period (which shall not be less than 2 years) in providing pediatric medical subspecialty, pediatric surgical specialty, or child and adolescent mental and behavioral health care, including substance abuse prevention and treatment services. To provide need-based financial assistance in the form of traineeships and fellowships to medical students, interns, residents, practicing physicians, or other medical personnel, who are participants in any such program, and who plan to specialize or work in the practice of the fields of family medicine, general internal medicine, or general pediatrics training programs. https://www.youtube.com/watch?v=IR27GnKb9r8 medical group management practice management healthcare reform obamacare obama care primary care health insurance collections debt collection medical billing medical practice management pediatrics internal medicine pediatrician internist family practice gynecologist gynecology
Views: 355 Direct Care For Me
Health Insurance 101: How is group coverage changing?
If you get health care coverage through your employer you may be wondering how health care reform will affect you. The health plan advisors at Blue Cross Blue Shield of Michigan are here to help you understand. Your coverage may not change very much at all. Or you could see a lot of changes in the next year. It's going to depend on the size of your company and what your employer decides to offer. They might choose a new plan for you, or not offer coverage at all. If that's the case, you can buy individual insurance from a company or through the Health Insurance Marketplace. Watch this video and visit http://www.bcbsm.com/101 to learn what you can expect.
Inland Empire Group Insurance - Health Care Reform
http://goodhealthquotes.com - Kelly Good discusses the first part of health care reform legislation that has been implemented. At Good and Associates you'll find a dedicated team of Insurance Professionals. Our team the best Small Group Insurance Plans in the Inland Empire. Our areas of expertise include Small Group Insurance Plans, individual health insurance and individual insurance in the Inland Empire. For more tips like this and for Inland Empire Insurance call us, we'll me happy to speak with you.
Views: 47 GoodHealthQuotes
The Economics of Healthcare: Crash Course Econ #29
Why is health care so expensive? Once again, there are a lot of factors in play. Jacob and Adriene look at the many reasons that health care in the US is so expensive, and what exactly we get for all that money. Spoiler alert: countries that spend less and get better results are not that uncommon. Crash Course is on Patreon! You can support us directly by signing up at http://www.patreon.com/crashcourse Thanks to the following Patrons for their generous monthly contributions that help keep Crash Course free for everyone forever: Mark, Eric Kitchen, Jessica Wode, Jeffrey Thompson, Steve Marshall, Moritz Schmidt, Robert Kunz, Tim Curwick, Jason A Saslow, SR Foxley, Elliot Beter, Jacob Ash, Christian, Jan Schmid, Jirat, Christy Huddleston, Daniel Baulig, Chris Peters, Anna-Ester Volozh, Ian Dundore, Caleb Weeks -- Want to find Crash Course elsewhere on the internet? Facebook - http://www.facebook.com/YouTubeCrashCourse Twitter - http://www.twitter.com/TheCrashCourse Tumblr - http://thecrashcourse.tumblr.com Support Crash Course on Patreon: http://patreon.com/crashcourse CC Kids: http://www.youtube.com/crashcoursekids
Views: 442061 CrashCourse
Health Care Reform & Employee Health Benefits: How Income Affects Each
http://bit.ly/11avEuW The Affordable Care Act (ACA) requires large employers to offer qualifying health insurance coverage to all full-time employees -- or face potential penalties. Findings from a new study by the ADP Research Institute can help employers understand the relationship between an employee's income and his or her likelihood to participate in a group health plan. This insight can help employers adjust their employee benefits plan design to address compliance, improve participation rates and balance overall costs. Watch this short video for key highlights from the study.
Views: 1527 ADP
Your Roadmap to Health Insurance Sales
Health insurance, sales, sales strategies, sales tips, diversify, business, small group, Medicare, individual insurance, group insurance, ACA, Affordable Care Act, healthcare reform, sales success, sales path, commissions, Open Enrollment Period, OEP
75% Participation Employer Small Group Health Insurance AB 1672  1083
Why do Insurance Companies Require Participation and the DE 9 CA Payroll Reporting? How does one comply with these requirements? Learn More http://healthreformquotes.com/small-business/health-care-reform-ab-1083-1-1-2014-and-future/participation-contribution-requirements/
Views: 156 Steve Shorr
Self Funded Group Health and GAP Plans
When it comes to your client's health plan, you have NEW CHOICES. Join our upcoming webinar to explore these new products. With Healthcare Reform in effect, these new products will allow you the flexibility and the "edge" of having viable solutions to our very challenging marketplace. Self-Funded Plans down to 15 lives Be one of the first agents to have this at their fingertips. The plan design is PPO and is "branded" with the top names in our industry. Self-funded are exempt from community rating and great for reasonably young healthy groups. Gap Insurance for groups down to 5 lives Guaranteed you will save existing accounts and open new accounts by having answers.
Views: 262 URL Insurance Group
Health Care Reform for Small Businesses California
This video by http://www.benefitscafe.com , 323-721-9121, describes Obama care for business owners. The video http://www.youtube.com/watch?v=RcQ5j8mu_Bk tells employers what's going to change in 2014. The new law requires that "California small group health insurance plans" must cover specific medical services or benefits. The way the rates, or prices, are calculated , changes dramatically. Starting 1/1/14, businesses need at least one eligible W2 employee to qualify for a group medical insurance plan. A sole proprietor or partnership without an employee must enroll in an individual health insurance plan. In California, you can't wait more than 60 days to enroll newly hired employees -- in all other states the "new hire waiting period" is 90 days. This means that when your group insurance plan renews in 2014 your waiting period will likely become the first of the month following one month of employment. The "Affordable Care Act" (ACA) also limits the number of plans an insurance company will offer. Blue Shield of California , for example, currently offers 40 plans. In 2014 they will offer only 16 plans -- and these include full and narrow network HMOs. Note that Blue Shield currently offers more PPO plan options than all of the plans they'll offer in 2014 under ObamaCare. Or, consider Kaiser Permanente, they currently offer 17 plans. In 2014 they will offer only 13 plans and number of their popular co-pay HMO plans with no deductible will drop from 5 to 2. This means that you'll likely have to pay a much more each month to the insurance company for a richer benefit plan -- whether you want it or not We know that some changes will likely increase small group rates. The "Risk Adjustment Factor" or RAF -- where rates can go up or down 10 percent based on the health condition of enrollees - goes away in 2014. So, groups with the lowest ,0.90 RAF will likely see higher rates. Beginning in 2014 the exact age of an employee will determine his/her premium. So a 31 year old will cost more than a 30 year old. Currently, employees in a certain age range, such as 30-39 get the same rate for the same plan. Also, the way rates are calculated for dependents will change. In 2014, each dependent will have a separate rate based on his or her age. Currently, there is one rate for a family, regardless of the ages of a spouse and children. These changes will likely increase the cost of health insurance for most people. So, what should you do to save money? The insurance companies have seen the 2014 health insurance plans and rates and they know that most people will pay more for their coverage. To delay the sticker shock, all insurance companies are allowing small groups to RENEW EARLY. "Early renewal" means that you can keep your current plan at the 4th quarter 2013 rates for a full 12 months. Many people are hoping that something will change between now and December 2014 that will reduce the rates...
Views: 320 Bruce Jugan
Health Care Reform & Affordable Care Act Info for Chicago IL Businesses
Obamacare has changed the way businesses offer health insurance to their employees. In the Chicago area, Premier Healthcare Chicago has been helping small and medium-sized businesses save money on group health plans, while better understanding how Healthcare Reform affects them.
Views: 61 PFI Chicago
Medical Benefits Group and a Solution for HealthCare Reform
Medical Benefits Group and a Solution for HealthCare Reform
Views: 188 Jeff Broyles
Health Care Reform Video Health Savings Account (HSA / HRA) Strategy
Health Care Reform Video Health Savings Account (HSA) / Health Reimbursement Arrangement (HRA) Strategy -- John Klimchak Economic Evaluation Group, Inc. outlines the benefit of the HSA/HRA How HSA/HRA is different from a FSA (Flexible Spending Account). The Mechanics of an HSA/HRA Economic Evaluation Group, Inc. Specializes in Group Health Insurance on Long Island New York in Melville, NY. As an Insurance Broker they can represent any health Insurance plan from any Health Insurance company. They also use out-of-the box thinking to offer different options.
Views: 192 Robert Kothe
What Is MEC Health Insurance?
Minimum Essential Coverage (MEC) Any insurance plan that meets the Affordable Care Act requirement for having health coverage. To avoid the penalty for not having insurance you must be enrolled in a plan that qualifies as minimum essential coverage (sometimes called “qualifying health coverage”). Healthyessentials mec first dollar coverage no deductibles or co insurance. Mec you are here cciio home health insurance market reforms minimum essential coverage, please feel free to email us at mec@cms. For tax year 2017, the irs will not consider a return complete and oct 24, 2017 individual shared responsibility provision requires you each member of your family to have qualifying health care coverage, qualify for affordable act (aca) most individuals minimum essential coverage (mec), or pay penalty month they are uninsured. Minimum essential coverage is the type of you'll need to avoid fee for not having insurance under ultimately, mec plans are precisely defined by affordable care act, and has provided health solutions our temporary employees may 17, 2016. Plan of benefits designed into the healthyessentials mec plan offering minimum essential coverage (mec) plans allow companies to cost effectively provide employees with health required under affordable care. Gov glossary minimum essential coverage (mec) healthcare. Googleusercontent search. What is a mec health plan? Healthedeals. Minimum essential coverage (mec) explained youtubelifestyle health plans. Gov there's a lot of talk about the affordable care act (aca) and health insurance marketplace. Minimum essential coverage obamacare facts. Minimum essential coverage (mec) plan benefits in a card. Are mec health plans game changers for employers in aca understanding the difference between minimum essential skinny on coverage are they right definition & 10 benefits internal revenue service. Gov glossary minimum essential coverage healthcare. Minimum essential coverage (mec) plans self insured plans, llc. Care aca individual shared responsibility provision minimum essential coverage cached similar oct 24, 2017 the requires you and each member of your family to have qualifying health care coverage, qualify for [pdf] guide (mec) reform centers medicare & medicaid affordable act? Affordable review. Gov glossary minimum essential coverage url? Q webcache. But when it comes to figuring out how all works and what jul 14, 2014 a mec plan is group health or insurance coverage offered by an employer the employee which Offered in minimum essential (mec)? . Another one you may hear or see is mec, otherwise known as minimum essential jul 15, 2014 certain applicable large employers, once panicked about penalties associated with the employer mandate provisions of affordable care jan 27, there are several terms in act that sound similar and coverage (mec) health benefits nov 6, 2017 many had speculated mec plans might go way dinosaurs under reform lawaccording to a recent survey qualify include sponsored plans,
Views: 26 Shad Texada Tipz
Health Care Reform – Latest Update
Dave Fear Jr. covers the latest updates on Health Care Reform at National level as well as in California. If you have any questions please contact Shepler & Fear General Agency at insurance@sheplerfear,com Shepler & Fear is a boutique general agency specializing in fully insured and alternative funded group health plans for brokers who have clients with 20+ employees
Internal Medicine Health Care Reform Provisions
http://medicalaccessforamerica.com The Patient Protection and Affordable Care Act (health care reform) has many provisions in it that directly affect the field of internal medicine. Provisions include: covering children until age 26, elimination of preexisting condition exclusions, freedom not to participate in health insurance, adult health quality measures, elimination of co-pay, incentive for prevention of chronic diseases, immunizations, primary care training enhancement, primary care extension program, and extending primary care. A group health plan and a health insurance issuer offering group or individual coverage shall continue to make such coverage available for an adult child (who is not married) until the child turns 26 years of age. A group health plan and a health insurance issuer offering group or individual health insurance coverage may not impose any preexisting condition exclusion with respect to such plan or coverage. No individual, company, business, nonprofit entity, shall be required to participate in any health insurance program created under this Act (or any amendments made by this Act), or in any Federal health insurance program expanded by this Act (or any such amendments), and there shall be no penalty or fine imposed upon any such issuer for choosing not to participate in such programs. The Secretary shall identify and publish a recommended core set of adult health quality measures for Medicaid eligible adults in the same manner as the Secretary identifies and publishes a core set of child health quality measures under section 1139, including with respect to identifying and publishing existing adult health quality measures that are in use under public and privately sponsored health care coverage arrangements, or that are part of reporting systems that measure both the presence and duration of health insurance coverage over time, that may be applicable to Medicaid eligible adults. Elimination of coinsurance (co-pay) on preventive services (ie. physical exams) in outpatient hospital settings. Incentives for prevention of chronic diseases. A program described in this paragraph is a comprehensive, evidence-based, widely available, and easily accessible program, proposed by the State and approved by the Secretary, that is designed and uniquely suited to address the needs of Medicaid beneficiaries and has demonstrated success in helping individuals achieve one or more of the following: ceasing use of tobacco products, controlling or reducing their weight, lowering their cholesterol, lowering their blood pressure, avoiding the onset of diabetes or, in the case of a diabetic, improving the management of that condition. Funds received under a grant under this section shall be used to implement evidence-based interventions including - providing immunization reminders or recalls for target populations of patients; reducing out-of-pocket costs for families for vaccines and their administration; providing for home visits that promote immunizations through education, assessments of need, referrals; or immunization information systems to allow all States to have electronic databases for immunization records. The Secretary may make grants to, or enter, into contracts with, an accredited public or nonprofit private hospital, school of medicine or school of osteopathic medicine, academically affiliated physician assistant training program, or a public or private nonprofit entity which the Secretary has determined is capable of carrying out such grant or contract - to plan, develop, operate, or participate in an accredited professional training program, including an accredited residency or internship program in the field of family medicine, general internal medicine, or general pediatrics, for medical students, interns, residents, or participating physicians as defined by the Secretary. The primary care extension program shall provide support and assistance to primary care providers to educate providers about preventive medicine, health promotion, chronic disease management, mental and behavioral health services (including substance abuse and treatment services), and evidence-based and evidence-informed therapies and techniques, in order to enable providers to incorporate such matters into their practice and to improve community health by working with community-based health connectors. Expanded access to primary care. In the case of primary care services furnished on or after January 1, 2011, and before January 1, 2016, by a primary care practitioner, in addition to the amount of payment that would otherwise be made for such services under this part, there also shall be paid (on a monthly or quarterly basis) an amount equal to 10 percent of the payment amount for the service under this part. https://www.youtube.com/watch?v=QzpFefme6Rk internal medicine internist primary care healthcare reform obamacare physical exam Copyright Disclaimer Under Section 107 of the Copyright Act 1976
Views: 114 Direct Care For Me
Selling Health Insurance Can Still Pay the Bills
As health reform changes the market, agents have to change sales strategies or get out! Let us show you new options in health insurance sales. Gordon Marketing 20224 Hague Rd Noblesville IN 46062 (800) 388-8342 http://gordonmarketing.com
Views: 9520 Gordon Marketing
What Is Minimum Value Health Coverage?
How to determine minimum value leavitt group news health reform 'minimum value' plans must have for employer coverage affairs. Thus it must may 21, 2013 health care reform defining minimum value for employer coverage. Does my employer group health plan meet healthcare reform's determining minimum value of coverage consociatehealth insurance for employers how to find out if your employer's is good enough care reform defined what coverage? Zenefits help center. Gov glossary minimum value and affordability. Minimum essential coverage obamacare facts. Note a separate nov 4, 2014 minimum value is an important concept under the affordable care act. Gov glossary minimum value healthcare. Generally minimum value, in terms of cost sharing, means that a plan must be equal to bronze sold on the health insurance marketplace. Defining minimum value for employer coverage wespath. Employers must offer health insurance that is affordable and provides minimum value to 95. In the meantime, this two year delay will, at a minimum, provide employers 'the cadillac tax an excise on high value health insurance plans' by feb 28, 2013 irs and department of human services (hhs) have released preliminary version employer plan minimum. Gov glossary minimum value url? Q webcache. Minimum value healthcare. Health insurance for small and large businesses state employer plan cost sharing rules a minimum value calculator. An employee who is offered employer sponsored health plan that may 1, 2013 implementing reform defining 'minimum value' for coverage. It's designed to pay at least 60. At the intersection of health, health care, and policy sep 18, 2014 these rules provide guidance for applicable large employers on whether your employer sponsored insurance provides minimum value 14, 2015 second prong requires that offer coverage or face does not satisfy ) provided beginning in 2014, standards will be used to determine employer's plan, but plan at least 60. Minimum value means that the plan's share of total cost benefits is at least 60. Employer mandate fact sheet cigna. Googleusercontent search. New regulations for determining a 'minimum value' plan require in frequently asked questions minimum value standards. Apr 6, 2017 an employer sponsored plan provides minimum value if it covers at least of the affordable care act to provided health coverage feb 22, 2013 under shared responsibility provisions act, group must meet certain requirements for affordability and. Is our health coverage considered minimum value? Zane benefits. Gov glossary minimum value healthcare. Beginning in 2014, the affordable care act (aca) provides premium tax credits and beginning large employers (50 or more full time equivalent employees) must offer qualified health coverage that is meets minimum mar 28, 2014 if your job does not a plan value considered, you have low moderate find out how concept of impacts insurance subsidies employer shared responsibility payments this article from medical mutual dec 5
Views: 9 Last Question
What Is A MEC Health Plan?
To be clear, apex management group adheres closely to all state and federal rules regulations surrounding offering a self insured mec [minimal. To maximize your benefits, and keep out of pocket expenses minimal, we encourage you to use in network providers. Mec & mvp what they mean for you assurance agencylifestyle health plans. As of right now (we'll see what changes come in healthyessentials mec. Minimum essential coverage (mec) any insurance plan that meets the affordable care act requirement for having health. Gov glossary minimum essential coverage (mec) healthcare. Mec is health coverage that meets certain standards. The benefits listed below are being provided for you by your employer. How do mec and minimum value plans work within the aca health care understanding difference essential coverage benefits actuaria cached similar 27 jan 2014 is an individual must have to comply with mandate avoid penalty tax that large employers may be required offer non offering employer. Most insurance, such as coverage provided by employers, medicare and most medicaid, is mec satisfies the 3 aug 2016 tyler, texas. To avoid the penalty for not having insurance you must be enrolled in a plan that qualifies as minimum essential coverage (sometimes called qualifying health ) 3 jan 2017 any meets affordable care act requirement. First, they enable organizations to satisfy part of the large employer mandate for employee healthcare. Simple select, a minimum essential coverage (mec) plan that meets preventive requirements of the affordable care act, now offers 3 sep 2015 employers with 50 or more employees are required to provide their full time workers access under act (aca). Importantly, employer plans that cover solely excepted benefits, such as stand alone vision or dental plans, are not mec under the affordable care act, federal government, state governments, insurers, employers and individuals each given roles in reforming improving availability, quality affordability of health if you have questions related to minimum essential coverage, please feel free email us at mec@cms. Essential health benefits are the 10 core that qualified plans minimum essential coverage & guide to (mec) reform a fatter 'skinny' plan healthfirst unveils new level of popular mec what you need know about (mec providers understanding centers for medicare medicaid confuse consumers nbc news. What is a mec health plan? Youtube. To avoid the penalty for not having insurance you must be enrolled in a plan that qualifies as minimum essential coverage (sometimes called qualifying health ) 3 sep 2017. Hence, the cost is less than traditional group health insurance and can be paid by employer, employee or co funded aliera's minimum essential coverage plans include standard care with zero out of pocket costs no deductibles for normal preventive procedures essentail (mec) allows companies to effectively provide employees plan required under affordable act (aca) 22 nov 2016 biz loves use acronyms
Views: 3 E Info
Webinar: Health Care Reform & Other Legal Developments for Employer-Sponsored Health Plans
This webinar was recorded on September 14, 2010. Many of the new regulatory requirements for health plans are effective in the coming plan year. This program will provide an overview of what employers need to know, including an update on legal developments for employer-sponsored health plans. Topics - The Patient Protection and Affordable Care Act changes to employer-provided health care coverage that are already in effect, will be effective for the 2011 plan year, and will be phased in over the next several years - Compliance with expanded Mental Health Parity and Addiction Equity Act requirements for group health plans, and how to integrate an organization's medical, surgical, mental health, and substance-use disorder benefits; requirements are generally applicable for plan years beginning after July 1, 2010 (January 1, 2011, for a calendar-year plan) - The new obligations on covered health plans and their business associates under the 2009 HITECH amendments to HIPAA, including new privacy and security policy and documentation requirements and suggestions for in-house counsel and general practitioners on how to respond to suspected information breaches Speakers Jean C. Hemphill, Partner Partner-in-charge, Health Care Group Member, Employee Benefits and Executive Compensation Group Brian M. Pinheiro, Partner Partner-in-charge, Employee Benefits and Executive Compensation Group Member, Health Care Group Jonathan M. Calpas, Associate Member, Employee Benefits and Executive Compensation and Health Care Groups
Views: 51 BallardSpahrLLP
Small Business Group Health Insurance Benefits Are you looking for small business group health insurance? Health insurance is very useful for our future. With health insurance you can save more money on health care plan. To get the best health insurance that will give you satisfactory of health coverage, you have to do health insurance comparison. There are various options and prices for affordable health plans. If you have small business and looking for affordable group health insurance, you can do a research on the internet. Many health insurance companies offer small business group health insurance free quotes. The benefits of purchase small business group health insurance are you can covers employers, employees and families. The employees cannot be declined due to the medical history as well. Get also premiums tax deductible for employers with small business group health insurance. If you want to retain only high-quality employees that can bring your business to the top level, you have to offer your employees good health insurance coverage options. With small business group health insurance, your workers will able to manage routine costs such as health care or preventive care or regular physical exams. You can choose the most suitable group health insurances from these options; traditional or fee for service (FFS), health maintenance organization (HMO), preferred provider organization (PPO), and point of service (POS). If you are a business owner, you can also take benefits from small business group health insurance. Interested?
Views: 16268 SimpleInfoForYou
What Is Group Health Insurance? : Personal & Health Insurance Tips
Subscribe Now: http://www.youtube.com/subscription_center?add_user=ehowfinance Watch More: http://www.youtube.com/ehowfinance Group health insurance plans typically require at least two eligible people. Find out more about group health insurance with help from an insurance broker in this free video clip. Expert: Susan Combs Bio: Susan Combs formed Combs & Company in 2005, a full-service insurance brokerage firm, specializing in life, health, property and casualty. Filmmaker: Susan Combs Series Description: When looking for a personal insurance policy, you always want to make sure that you're shopping around in the most effective way possible to make sure your hard-earned money isn't being wasted. Get personal insurance tips with help from an insurance broker in this free video series.
Views: 141 ehowfinance
Ask the Expert: Healthcare Reform
(KUTV) Do you have questions about the Affordable Care Act?Arches Health Plan is with us today to answer your questions about the Affordable Care Act and how it will affect you and your family.Call 801-908-0690 or toll free at (877)908-0680 with your questions.(Copyright 2013 Sinclair Broadcasting Group.)
Views: 166 KUTV2News
What Is The Law On Employers Providing Health Insurance?
Starting in 2014, the Affordable Care Act requires everyone to have health insurance or pay a penalty. Under the new law however, businesses with fewer than 50 full-time equivalent employees are not required to provide insurance to their employees. Tennessee healthcare insurance laws & hr compliance analysis. However, if health there is currently no state law requiring employers to offer group healthcare insurance their employees, but most do provide this benefit the affordable care act (sometimes called law, or aca) you your must it all eligible 28 jan 2014 in general new jersey with 50 more employees benefits njsehba ), and regulations laws apply differently small large. Delaware healthcare insurance laws & hr compliance analysis. Offer or provide health insurance tips for employers division of financial regulation. Health plans & benefits. Laws related to health insurance. United states department of labor. Under oregon law, a small business is defined as having 50 or fewer employees the affordable care act of 2010 (aca) mandates that employers offer group health insurance benefits to full time equivalent employees, and at least with less than employees) have legislation also addresses certain excise tax features follows 9 jun 2015 who employ 11 more do not provide them pay fair share employer goal massachusetts reform, which was passed into law in responsibilities on ensure accessible plans continuation coverage (cobra) employee standards conduct under fiduciary specified cobra department labor provides separate from company (aca), businesses (fte) coverage, oct 2017 changes federal affect how both large their montanaLaws related. Montana employers health insurance information. Health coverage guide by health care law employer responsibility non compliance fees does my have to provide insurance? Zane benefits. California healthcare insurance laws & hr compliance analysis. Trusts or associations) that provide group health benefits, the care law does not require employers to insurance for their employees. Is it a legal requirement to provide part time employee benefits? . Health insurance for small and large businesses state legislation on comprehensive health care coverage information employers mass. However, employers with 50 or more full time employees that 4 feb 2016 the health care reform law, called affordable act (aca), requires certain to purchase insurance else pay a tax most are not required by law offer related benefits their employees, although practice of providing is fairly recent changes healthcare laws have left small business owners wondering how navigate new system. Am i required to provide health insurance my employees arizona healthcare laws & hr compliance analysis. Rules and requirements about providing health insurance to employer mandate covered california. Health insurance and benefits your rights employment law. However, if any there is no state law requiring employers to offer group healthcare insurance their employee
Views: 49 Shad Texada Tipz
How Health Insurance Works
When I consider purchasing an individual health insurance plan for myself or my family, do I have any financial obligations beyond the monthly premium and annual deductible? Answers: It depends on the plan, but some plans have the following cost-sharing elements that you should be aware of. Co-Payments: Some plans include a co-payment, which is typically a specific flat fee you pay for each medical service, such as $30 for an office visit. After the co-payment is made, the insurance company typically pays the remainder of the covered medical charges. Deductibles: Some plans include a deductible, which typically refers to the amount of money you must pay each year before your health insurance plan starts to pay for covered medical expenses. Coinsurance: Some plans include coinsurance. Coinsurance is a cost sharing requirement that makes you responsible for paying a certain percentage of any costs. The insurance company pays the remaining percentage of the covered medical expenses after your insurance deductible is met. Out-of-pocket limit: Some plans include an out-of-pocket limit. Typically, the out-of-pocket limit is the maximum amount you will pay out of your own pocket for covered medical expenses in a given year. The out-of-pocket limit typically includes deductibles and coinsurance. But, out-of-pocket limits don't typically apply to co-payments. Lifetime maximum: Most plans include a lifetime maximum. Typically the lifetime maximum is the amount your insurance plan will pay for covered medical expenses in the course of your lifetime. Exclusions & Limitations: Most health insurance carriers disclose exclusions & limitations of their plans. It is always a good idea to know what benefits are limited and which services are excluded on your plan. You will be obligated to pay for 100% of services that are excluded on your policy. Beginning September 23, 2010, the Patient Protection and Affordable Care Act (health care reform) begins to phase out annual dollar limits. Starting on September 23, 2012, annual limits on health insurance plans must be at least $2 million. By 2014 no new health insurance plan will be permitted to have an annual dollar limit on most covered benefits. Some health insurance plans purchased before March 23, 2010 have what is called "grandfathered status." Health Insurance Plans with Grandfathered status are exempt from several changes required by health care reform including this phase out of annual limits on health coverage. If you purchased your health insurance policy after March 23, 2010 and you're due for a routine preventive care screening like a mammogram or colonoscopy, you may be able to receive that preventive care screening without making a co-payment. You can talk to your insurer or your licensed eHealthInsurance agent if you need help determining whether or not you qualify for a screening without a co-payment. There are five important changes that occurred with individual and family health insurance policies on September 23, 2010. Those changes are: 1. Added protection from rate increases: Insurance companies will need to publically disclose any rate increases and provide justification before raising your monthly premiums. 2. Added protection from having insurance canceled: An insurance company cannot cancel your policy except in cases of intentional misrepresentations or fraud. 3. Coverage for preventive care: Certain recommended preventive services, immunizations, and screenings will be covered with no cost sharing requirement. 4. No lifetime maximums on health coverage: No lifetime limits on the dollar value of those health benefits deemed to be essential by the Department of Health and Human Services. 5. No pre-existing condition exclusions for children: If you have children under the age of 19 with pre-existing medical conditions, their application for health insurance cannot be declined due to a pre-existing medical condition. In some states a child may need to wait for the state's open-enrollment period before their application will be approved.
Views: 572987 eHealth
CLRA Group - Maryland Healthcare Reform Training 101 - October 29th, 2015
CLRA Group provided Healthcare Reform Training 101 for agents in Maryland on October 29th, 2015
Views: 117 CLRA Group
Group Health Insurance - Employer Solutions
You may be able to save money while offering your employees a better alternative to group health insurance. This video explains the benefits of Private Exchanges, a Detailed Employer Report, Defined Contribution and our Fulfillment Center.
Health Care Reform 101: Essential Health Benefits
Learn about the ten essential health benefits that all plans must include as a part of basic coverage in order to qualify for the new health care reform exchanges. For more information visit http://www.ncreform101.com
Views: 2275 Blue Cross NC
American Health Care Act: Last Week Tonight with John Oliver (HBO)
The Republican health care bill could leave many Americans without affordable coverage. Last Week Tonight's catheter cowboy returns to morning cable news to explain that to Donald Trump. Connect with Last Week Tonight online... Subscribe to the Last Week Tonight YouTube channel for more almost news as it almost happens: www.youtube.com/user/LastWeekTonight Find Last Week Tonight on Facebook like your mom would: http://Facebook.com/LastWeekTonight Follow us on Twitter for news about jokes and jokes about news: http://Twitter.com/LastWeekTonight Visit our official site for all that other stuff at once: http://www.hbo.com/lastweektonight
Views: 7830127 LastWeekTonight
Health Care Reform: A Summary of Key Employer Decisions (Towers Watson)
Towers Watson Health and Group Benefits Senior Consultant Jeanne Wyand discusses some of the strategic considerations for employers looking ahead to the "pay or play" decision and other aspects of the Patient Protection and Affordable Care Act. Read more on health care reform at: http://www.towerswatson.com/health-care-reform
Labor Secretary says new health insurance rule will help small businesses
Labor Secretary Alexander Acosta discusses how the department’s new health insurance rule will help small businesses band together to bargain for cheaper health plans.
Views: 1238 Fox Business
Buy Small Group Health Insurance; don't help employees buy private plans
A video which promotes the idea that employers should purchase group health coverage, for several reasons.
Is United Health Care A PPO Or HMO?
The hmo plan may change its formulary at any time, but you'll be notified if neededa uhc medicare advantage preferred provider organization, or ppo, is an access your patient care opportunity report electronic payments and statements health reform resources icd 10 regulatory outreach network bulletin policies, protocols administrative guides training & education unitedhealth premium golden rule became a unitedhealthcare company in 2003. Googleusercontent search. United healthcare medicare advantage plansgolden rule insurance company wikipedia. United healthcare has a national network of providers; However, you may use any licensed provider choose. 2017 unitedhealthcare medicare advantage uhcprovider. Preferred provider organization (ppo) point of service (pos) plans. Your out of pocket costs will typically be higher than hmo plans, but lower ppo plans. Is united health care hmo or ppo? Youtubeunitedhealthcareis Youtubeoffice of faculty & staff benefits medicare advantage and ppo plans unitedhealthcare. Receive complete coverage with unitedhealthcare's group health insurance plans. Maybe, depending on the plan. The following unitedhealthcare plans offer medicare advantage prescription drug plan coverage to missouri residents. 2017 benefit plan names overview. Individual and group retiree). Unitedhealthcare health plans accepted by sutter. The united healthcare (uhc) choice plus plan is a ppo that allows you to see any doctor in their network including specialists without referral. Our medicare advantage national ppo plan provides coverage most hmo plans include for prescription drugs listed in their formulary, or list of covered medications. Doc# pca 1 005396 02282017_03282017. Ppo plans preferred provider organizationIs united health care hmo or ppo? Youtubeunitedhealthcareis Youtubeoffice of faculty & staff benefits medicare advantage and ppo unitedhealthcare. Explore group coverage options ppo by unitedhealthcare same features as choice product, plus offers members a level of benefits should they choose to seek care outside the network normally at higher coinsurance, and or deductible levelunitedhealthcare ppo. Unitedhealthcare uhc employer health plans options ppo "imx0m" url? Q webcache. Unitedhealthcare medicare advantage plans with us news health. Health maintenance organization, you generally have to get services from a network of local providers, except for emergency room, urgent care visits and renal dialysis. Your out of pocket costs will typically be lower than ppo and pos plans unitedhealthcare community plan can help you find a medicaid or medicare that best fits your needs. These plans help cover the costs of services provided by following unitedhealthcare offer medicare advantage prescription drug plan coverage to texas residents. It offers more benefits and features than original medicare. Medicare advantage plans are an alternative way to get your original medicare. In 2016 unitedhealth joined 11 other health insurance carriers
Views: 31 Funny Question
Health Care Reform Webinar 1-18-2018
Covered in this video: - New Administration: -- Association Health Plan EO: Possible changes to ERISA to allow sole-props, small employers, etc. to band together to form a LARGE employer group. This will be met with legal challenges. States will still have final say in adopting any new changes. -- Within the Funding Bill??: Delay of Medical Device Tax (2.3%) which was not enforced in 2016 or 2017 but is back in effect 2018; Two Year Delay of the Cadillac Tax; Elimination/Delay of 2 years of the Health Insurance Tax (approximately a 2.7% increase in premiums is affiliated with this Tax); AND…..Six year CHIP funding! - January 24th at URL: The Advantages to Reference Based Pricing w/Starmark (11:30 start for this Lunch & Learn Seminar) - National General STM: Enrollees must verify subsequent policies at www.vipmemberbenefits.com - Orion Program: Life Markets, Medicare Offerings, Annuity Solutions! - THANK YOU for your partnership and your business! - Open Forum
Preparing for Health Care Reform - Towers Watson
Towers Watson Health and Group Benefits Managing Director Mark Maselli discusses health care reform and the implications for plan sponsors. Learn more at: http://www.towerswatson.com/en/Services/your-business-issues/health-care-reform
Health Care Reform Webinar 4-26-2018
Covered in this video: - Trump Administration: - PA HB 504 which allows unlicensed retail clerks in Self-Storage companies to sell contents (property) insurance. Limited License Producer License would be issued to a Storage Unit owner who would then designate unlicensed employees as the “authorized service representative” who would need to require training on property insurance basics. They would also have to provide information on the necessity of the content insurance if the person has home owners insurance, etc. House voted 192-0 to move to the Senate. Amendment added that training for the “Authorized Service Representatives” must be approved by the PID. - PA SB 605 which proposed allowing unlicensed entities to sell travel insurance. For this segment, a limited license would be required and the requirement to maintain contracts with the travel insurance carriers as well as training. Referred to the House Appropriations Committee. - Other PA Bills of Interest: - SB 1003 (White-R-Indiana County): Allows ambulance and EMTs to be paid by insurers if called to an accident scene and the affected person declines transport. Poised for final Senate Vote. - HB 1800: House Insurance Committee reported out the bill which would allow for medication synchronization enabling pharmacists to provide partial prescriptions and require insurers to pay partial fills. This keeps folks on the same fill schedule when switching PBMs or carriers and allows for better adherence to prescription treatment. - Ranking Democrats of 5 House and Senate committees are calling on the Administration to withdraw the STM extension which would allow STM plans to be sold for 12 month increments instead of the current 89 day limit. Comment Period ended 4-23. Possible 1-1-19 roll-out? - Federal Claims Judge Margaret Sweeney granted class action status to all persons and entities offering QHPs under ACA for the 2017 and 2018 benefit year. These entities would have made CSR subsidies available to beneficiaries but didn’t receive reimbursement. The Common Ground Healthcare Cooperative brought the lawsuit. - Democrats in Congress are questioning the legality of the DOL’s authority to finalize the proposal for the AHPs considering the AHPs would not be bound to protect groups against discrimination. - IRS confirms continued enforcement of the Employer Mandate. - NAHU-backed Legislation to re-evaluate the MLR has bipartisan support and they are optimistic. - Choose Medicare Act... not going to go anywhere. - TASC: They will meet or beat any competitors pricing for FSA, HSA, HRA administration. Request a quote today! - UPMC: Grandmothered Renewals for April, May, June 2018 will receive a new 12 month offer. If not signed and/or returned, previous 12-31-18 termination will stand. - 4th Quarter Prep: Please utilize our new Group Health Quoting Form (attached) and Census sheet. - Upcoming Events of Interest: - May 16th @ 2pm: Webinar on Generating New Revenue from Voluntary benefits w/Sunlife - May 17th @ 3-5pm: CPAHU: Cocktails with Class - May 23rd @ 2pm: Webinar on Highmark 3rd and 4th Quarter Changes - Open Discussion & THANK YOU for joining our forum!