Healthcare benefits

Benefit advisers can be a ‘vital’ resource for low-income earners who, according to new research, need better understanding of and engagement with their employers’ benefit offerings.

Commentary: While these policies can be a win-win for both employers and employees, they are not without some legal risk. Here are the top risks associated with such policies and tips for how employers can mitigate those risks.

The health care system in the United States is on the threshold of changing the course of the nation and what happens now “can impact the life of every American more than any piece of policy or legislation we have seen in the recent past,” Sylvia Mathews Burwell, secretary of the Department of Health and Human Services, said Wednesday.

Employers facing benefit enrollment challenges or looking to streamline the enrollment process could benefit from the service of outsourcing the enrollment process. Choosing the appropriate benefit enrollment firm requires careful selection by the employer and its benefit adviser.

By now, some of your clients have come to you with a problem: How do I address this tax filing for IRS 6055/56? For some reason, their payroll vendor is unable to deliver or wants an arm and a leg to do the filing. You hold out hope that somehow this will blow over and get resolved. But as we get into the summer months, a greater number of your clients lacking in options will…

CMS says agent fees and commission cannot be excluded from issuer MLR reporting requirements — unless these very specific criteria are met.

The clock is ticking for various state legislatures that are pondering a change in the way their residents enroll in public health insurance exchanges ahead of the widely anticipated June ruling in King v. Burwell on whether federal subsidies will be scrapped in 34 states that rely on Healthcare.gov for signups.

The proposals for Healthcare.gov plans are subject to a review process before the final rates are published by Nov. 1.

Commentary: The changes you may need to make to compete effectively in a future benefits world may be dependent on some prediction as to where you think the market is going.

The terms of the deal were not disclosed, but all 350 MHBT employees will join MMA under a new company name.

Benefits decision-makers continue to struggle with the notion of financially justifying their wellness dollars, as wellness ROI is still exceptionally elusive.

Too many employee benefit plan audits are deficient, finds a new report from the U.S. Department of Labor, putting up to $653 billion and 22.5 million plan participants and beneficiaries at risk.

Although the Equal Employment Opportunity Commission recently released some new proposed regulations on wellness programs, employers are still grappling with how to incorporate new health technologies into their programs.

Commentary: Recent guidance issued jointly by the U.S. Departments of Labor, Health and Human Services and the Treasury clarifies how the Affordable Care Act's requirement to provide cost-free coverage for preventive care applies to several types of products and services.

The federal government has erased any residual doubt about how out-of-pocket limits set by the Affordable Care Act will govern family members covered under a group plan.

Employers looking for good news on patient safety got a mixed bag of recent news – especially the discouraging report that nearly half of American hospitals fall short in nursing standards.

The ACA’s mandated expansion of the definition of the small group market would limit employers’ health plan options and lead to premium increases, according to employer groups that are urging the repeal of the mandate before it takes effect in 2016.

The possibility of specialty drug pricing financially overwhelming business and union health plans is very real.

A new partnership will soon give independent insurance agencies access to a program designed to help brokers change their service model and increase profitability.

Although the U.S. Supreme Court’s 2014 ruling in the Burwell v Hobby Lobby Stores case addressed in broad terms how exceptions to the Affordable Care Act’s mandate for contraceptive benefits coverage can be granted in the private sector, it left some unresolved questions both in the for-profit and in the nonprofit world.