Practice management

Commentary: The California labor commissioner recently ruled that a San Francisco driver is an employee, not an independent contractor. While the ruling applies to only one driver, it is one of a growing number of decisions that may have far-reaching implications.

To stay abreast of private exchange trends, advisers, employers, insurers and other legal and industry experts will share their insights about private exchanges at this year’s EBA/EBN Private Healthcare Exchanges conference in downtown Chicago, July 23-24.

Advisers who excel in the vision field do the best job of making the connection between vision and medical plans, some experts say. Shannon Enders, a founding partner at Lakeshore Employee Benefits in Norton Shores, Mich., says when he brings the idea of connecting vision and health data to clients’ attention, “they quickly become very interested.”

Commentary: Delivering fee disclosure notices to both plan sponsors and plan participants has helped some plan sponsors to lower their costs, but the various fee disclosures are still difficult for many to understand. With such a national focus on fees, some plan sponsors have taken the opportunity to review and rethink how they handle plan fees.

Commentary: Columnist Nelson Griswold discusses why sophisticated employee benefit advisers are increasingly discussing self-funding of the health plan with mid-size employers.

Commentary: What should brokers and benefit advisers take away from all the merger and acquisition activity among the medical carriers? The message is crystal clear. Now would be the time to move away from a dependency on medical commissions and take a fee.

A group of lawmakers has introduced legislation to roll back guidance from the Treasury Department that prohibits employers from using stand-alone health reimbursement arrangements to reimburse employees for health care-related expenses.

Commentary: The ACA’s Cadillac tax is like a patient, powerful hurricane moving across the Atlantic. If it makes landfall, the impact will be dramatic.

Selecting the right partners, learning from colleagues and understanding the needs of each client will help agents who are new to this space.

Consolidation in the health insurance industry holds both positives and negatives for employer-sponsored health plans, but employers shouldn’t expect to see any major savings resulting from the Aetna-Humana merger until at least 2017, say industry experts.