Healthcare

Under health reform, state health care exchanges are slated to operate in 2014 - not much time to figure out the role a broker will play in the system. As we await more definitive information on what exactly constitutes a "navigator," one can look toward California, which is further along in setting up its exchange, as a potential model, says Neil Crosby, director of sales at Westlake Village, Calif.-based Warner Pacific Insurance Services.

With health reform there's a real opportunity for brokers and consultants to truly add value to their client services. It allows them to go above and beyond just the tactical nature of health plans and step up the strategic level of advice and guidance.

Employees know very little about disability coverage. But when they learn about it, they often want the coverage and are willing to pay for it, recent surveys find. The Consumer Federation of America and Unum national survey of 1,200 employees finds that only 13% know "a lot" about disability insurance, and less than half (47%) know what its benefits are.

While President Barack Obama's open support of same-sex marriage hasn't caused any immediate change in federal law, the 1st U.S. Circuit Court of Appeals in Boston ruled recently that part of the Defense of Marriage Act - which denies federal benefits to same-sex married couples - is unconstitutional and cannot be enforced. Noting that a "Supreme Court review of DOMA is highly likely," however, the 1st Circuit put the ruling on hold.

For all employers' focus on curbing obesity statistics through healthy eating and exercise programs, it can be easy to forget that smoking remains the leading cause of preventable death in the United States. One employer, Nelnet, is remaining vigilant about stamping out smoking among its employee population.

As employers move past the anxiety and drama over the Supreme Court ruling on health care reform, there's no escaping the fact that steep employee medical benefit costs remain as a serious concern - not only in the United States, but all over the world.

Last September, after the Patient Protection and Affordable Care Act gave the Department of Health and Human Services authority to review premium rates in states that didn't have strong enough review programs, the agency began handing down decrees of "unreasonable" premium rates for insurers that proposed increasing rates by an average of 10% or more - meaning HHS can publically shame an insurer.

"The whole onsite clinic thing has been a buzz the last few years," says Michael Troup, partner at Forsite Benefits.

Employers who postponed action on health reform compliance will now be going full tilt to continue meeting the legislation's provisions that take effect this year and beyond. But even larger strategic questions loom over their roles as benefit sponsors.

Ever since the Supreme Court issued its ruling to uphold the Patient Protection and Affordable Care Act in June, family, friends and colleagues have been asking me, "What do you think of the ruling? Is it good? Is it bad? Does it matter?"