Benefit plan design

Well, it’s been quite an interesting renewal/marketing season already, hasn’t it? Trend factors are lower than they’ve been in years. Some carriers are out there offering premium holidays for new clients who sign up before January 1. And when’s the last time you saw a carrier offer a double-digit rate decrease right out of the chute? …

One of the first (and most popular) changes brought on by health care reform was the mandatory extension of health plan eligibility to adult children up to age 26 regardless of student status or dependence upon the employee. Most people predicted that the rate of ineligible dependents would decrease after this provision took effect. Based upon a study my firm recently completed, comparing similar populations before and after the implementation of this provision, we can…

The clock is ticking. The Patient Protection and Affordable Care Act's health insurance exchanges are targeted to come online in 2014, which means open enrollment must begin in the fall of 2013. Every state is determining its approach, and everyone in the industry is strategizing on how to tap into a projected market of 25 million enrollees by 2016. The states will take different approaches, but the common denominator is technology. This month we'll look at how technology will be utilized in exchanges and identify other corresponding services that will be necessary to make the exchanges a success.

For all the discussion about lowering the cost of health care and providing health benefits, is there a more important arbiter of employer satisfaction with a health plan than holding down cost trends? Maybe so, according to the results of the latest survey from J.D. Power and Associates.

Senator Mike Enzi (R-Wyo.), ranking member on the Senate Health, Education, Labor and Pensions committee, released a report recently showing access to child-only health insurance plans has declined significantly since passage of the Patient Protection and Affordable Care Act.

(Reuters) Wed., Aug. 24, 2011 WASHINGTON — Almost three-quarters of medium to big companies will keep offering health care benefits to employees once state-based insurance exchanges kick off in 2014, according to a survey by Towers Watson.

According to Wikipedia, the word transparency implies openness, communication and accountability . . . performing in such a way that it is easy to see what’s wrong. Sounds like our health care system, doesn’t it? Not really and that’s where enormous opportunity exists to “fix” healthcare.

Communities known for paying the most on health care may not be spending as much as once thought, according to new data released on Wednesday.

Health care reform in Massachusetts hasn't lessened the pressure on providers that care for the poor, a new study shows.

It's long been said that what you don't know won't hurt you. Whoever said that clearly had no knowledge of the Patient Protection and Affordable Care Act. Since its enactment in March 2010, PPACA and its impact on health plans, wellness programs,long-term care and even adoption benefits can definitely harm benefits pros who aren't on top of its provisions.

CHICAGO — There is a need for an “extreme makeover” in the house of benefits with a delivery system built on partnership, collaboration, accountability and engagement — rather than competitiveness, says Larry Boress of the Midwest Business Group on Health. Read more from Associate Editor Brian Kalish as he reports from Employee Benefit Adviser’s Workplace Benefits Mania Conference at the Fairmont Chicago Millennium Park.

Government and industry experts say recent guidance from the federal government will hasten development of state purchasing exchanges, which will in turn affect employers’ long-range benefit sponsorship decisions.

While most companies go through their annual renewal process in the fall, at Ambrose we are wrapping it up and heading into open enrollment for an Aug. 1 effective date. For us, as well as other employers with renewals that fall in the middle of the year, health care reform regulations haven't kicked in until now

On July 11 when Health and Human Services (HHS) Secretary Kathleen Sebelius, announced rules for the new state health insurance exchanges, she did so with an air of caution, telling stakeholders to expect more modifications before they become final. That may prove to be an understatement.

Although the National Association of Insurance Commissioners on July 12 tabled their support of H.R. 1206, a bill that would exclude insurance agents’ compensation from the medical loss ratio equation, “there’s a lot of work still to be done on this issue and we look forward to our continuing work with the NAIC, HHS and Congress to find a suitable solution,” says Brianne Mallaghan, director of communications for The Council of Insurance Agents & Brokers.

Are you a PPACA prodigy? Or, do you need health care reform remediation? Take EBN's PPACA Challenge to find out!

Test your knowledge of the Patient Protection and Affordable Care Act. Are you a PPACA prodigy? Or, do you need health care reform remediation? Take EBN's PPACA Challenge to find out.

The ability to save a little money by avoiding taxes will get smaller, unless Congress can be swayed to repeal new restrictions on health care spending accounts.

The authors of the Patient Protection and Affordable Care Act would be quick to point out that our plan is not required to cover dependent children — but we do have to cover the 26-year-olds if we want to cover the newborns and preschoolers. Some choice.

Employer organizations and trade groups expressed mixed reactions Wednesday afternoon when the first federal appeals court to rule on the health care reform law upheld the constitutionally of its so-called individual mandate provision.