Blog Entries - June 2013

Health Insurance Costs to Increase Significantly Under Affordable Care Act

Posted on: June 24, 2013 3:00 pm
Tags: July 2013, Benefits connection

The Ohio Department of Insurance released details of health insurance plans that insurers have submitted for approval to sell on the coming federal insurance exchange for Ohio.  The Department's preliminary analysis of the proposed plans for the individual market reveal that insurers expect the cost to cover health care expenses for consumers will significantly increase. 

read more …

Kingsport Employee Wellness Opening

Posted on: June 20, 2013 1:00 pm
Tags: June 2013, Health / wellness centers

Offering the latest solutions in health care innovation, SHERRILL MORGAN is happy to announce that the City of Kingsport is opening an employee health and wellness center. The center which will be called Kingsport Employee Wellness will offer primary care services, drug testing, and annual preventative health assessments for City employees.

read more …

Carrier Corner: KY & OH

Posted on: June 12, 2013 10:00 am
Tags: June 2013, Benefits connection

Carrier Corner: What's New?

read more …

Comparative Effectiveness Research Fee

Posted on: June 11, 2013 9:00 am
Tags: June 2013, Benefits connection

The first comparative effectiveness research payment put in place to support the Patient-Centered Outcomes Research Institute (PCORI) is due no later than July 31, 2013 for plan years ending October 1, 2012 through October 31, 2013.

read more …

Preventive Services Highlights

Posted on: June 11, 2013 9:00 am
Tags: June 2013, Benefits connection

The Department of Health and Human Services (HHS) recently released a Frequently Asked Question (FAQ) on preventive care, including U.S. Preventive Services Task Force (USPSTF) recommendations, out-of-network, services, women's health and immunizations.

read more …

Proposed Rule Delays Part Of SHOP Exchange

Posted on: June 10, 2013 3:00 pm
Tags: June 2013, Benefits connection

In March, the Department of Health & Human Services (HHS) published a proposed rule that would delay part of the Small Business Health Options Program (SHOP) Exchange until 2015. SHOP is an exchange created by the Affordable Care Act (ACA) for small businesses and their employees. However, the proposed rule does not apply to the entire program.

read more …

Proposed Regulations On Individual Mandate

Posted on: June 10, 2013 3:00 pm
Tags: June 2013, Benefits connection

The Internal Revenue Service (IRS) and Department of Health & Human Services (HHS) has issued proposed regulations related to the individual mandate provision of PPACA.

The individual mandate requires most individuals to have minimum essential coverage or pay a penalty beginning in 2014. The penalty is now called a “shared responsibility payment.’ Some individuals may qualify for an exemption so they will not be required to have coverage or pay a penalty.

read more …

Guidance On Employee Notice Of Exchange Options

Posted on: June 10, 2013 3:00 pm
Tags: June 2013, Benefits connection

On May 8, 2013, the Department of Labor provided temporary guidance and model notices that employers can use to inform their employees about the Exchanges, which will be available January 1, 2014.

The original deadline for providing this notice to employees was March 1, 2013. The effective date has been changed to October 1, 2013 to coincide with the Exchange (or Marketplace) open enrollment period, which also begins on that date. Employers who want to start providing notices sooner can follow this temporary guidance and use these model notices. However, employers are not required to provide notices under this temporary guidance and can wait until formal guidance is provided later this year.

read more …

Health Care Reform Fun Fact

Posted on: June 7, 2013 11:00 am
Tags: June 2013, Healthcare reform, Exchanges

Q: If an uninsured does not enroll through a health insurance exchange (also known as a health insurance marketplace) during the open enrollment period for coverage effective Jan. 1, 2014, under what circumstances may an individual enroll and receive coverage during 2014?

read more …

United Health Care- Early Warning Report

Posted on: June 7, 2013 11:00 am
Tags: June 2013

UnitedHealthcare’s Early Warning Report forecasts the states, legal entities and group sizes (each combination of which we call an Aggregation Set) that are currently eligible to be issued MLR premium rebates by UnitedHealthcare associated with the 2012 calendar year. Any owed rebates will be paid in July, 2013. For MLR purposes, “state” means the situs state of the contract, not necessarily the state where the business has its main operations. 

read more …

Reform Update:Great Recession spawns Great Debate over health spending

Posted on: June 7, 2013 11:00 am
Tags: June 2013, Healthcare reform
Economists and policymakers are puzzling over how big an impact the Great Recession and its aftermath are having on reducing healthcare spending, whether the economic upswing will unleash pent-up demand for care, and whether the current lower spending is actually good for Americans' health.


read more …