Benefit plan design

Benefits Think Waiting for SCOTUS: What to think about

There is a lot riding on the Supreme Court’s health reform decision for all stakeholders. Brokers and consultants need to be prepared to advise their clients, says EBA Advisory Board member Mark Gaunya, who highlights what you should be thinking about while we wait for the decision.

Secret Shoppers

Later this month, employers will know – based on the Supreme Court ruling whether to uphold the Patient Protection and Affordable Care Act – if their employees must have health insurance. Should the law and all of its provisions be ruled constitutional, the cost of offering health benefits may prove too much for some employers, allowing employees to seek coverage from state-run insurance exchanges.

Lisa V. Gillespie
By Lisa V. Gillespie
Writer

How to use scenario planning

Health reform is in such a chaotic state and will continue to be so even after the Supreme Court ruling on the constitutionality of PPACA – and the November election. This is where scenario planning can help. At the April conference for the Institute for HealthCare Consumerism, I listened to a panel on alternative planning scenarios in regard to health reform using scenario planning. Let's see how it works.

John Lamb
By John Lamb
VP and Group Head
EBIX

More than half individual health plans fall short of PPACA standards

More than half of Americans with individual market health insurance coverage in 2010 were enrolled in so-called "tin" plans, which provide less coverage than the lowest "bronze"-level plans in the Affordable Care Act, and therefore would not be able to be offered in the health insurance exchanges that are being created under the law, according to a Commonwealth Fund. The analysis suggests that once the state-based exchanges — set up to make it easier for individuals and small businesses to shop for health insurance — go into effect in 2014, many of these Americans will be able to purchase plans that offer better coverage. In addition, many will be eligible for premium subsidies that will help offset the cost of the plans.

Lisa V. Gillespie
By Lisa V. Gillespie
Writer

NAIFA survey: MLR provision harms consumers, agents

In a presidential election cycle where job creation is a key issue, 15% of National Association of Insurance and Financial Advisors members surveyed recently say President Barack Obama’s health care reform law’s medical loss ratio provision has decreased their commissions enough to cause them to need to lay-off or reduce the hours of support staff in their offices — affecting an average of two employees per agency.

No such thing as ‘wait and see’

Aon Hewitt isn't letting health care reform dictate its business model. If anything, it's the other way around. In addition to publishing an influential report on the implications of health reform for large employers, CEO Kristi Savacool has been to the White House several times in recent months to discuss the company's retiree health care exchange and upcoming active employee exchange model. "We have been on the front line," says Savacool, "really influencing the development of health care reform, influencing our clients with respect to how they put their own health care strategies together."

Elizabeth Galentine
By Elizabeth Galentine
Former editor-in-chief
Employee Benefit Adviser

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