Healthcare plans

Millions of ACA application inconsistencies come as no surprise to benefit advisers and could trigger an influx of business to brokers from confused 2015 ACA enrollees.

CMS says benefit brokers and advisers are expected to be able to enroll their small business clients on the federal SHOP exchange online by sometime later this year.

Given that hospital charges currently represent about a third of the $2.7 trillion annual U.S. health care bill, employers may want to consider offering hospital indemnity insurance as a voluntary benefit. When an employer is reviewing these plans, there are several important features to look for.

Benefit advisers are poised to close the gap between employers’ need to control health costs and comply with the health law and employees’ lack of interest in taking ownership of their health care choices.

Benefit insiders predict a steep decline in small business group health insurance sales in the coming years, which could prove harmful for many independent brokers and agents.

Benefit advisers can advise their clients on a recent court case that confirms ERISA penalties will ensue for plan administrators that fail to provide plan documents when requested by a plan participant or plan sponsor.

The IRS this month clarified for benefit advisers and their clients that employers cannot escape ACA penalties and taxes via pre-tax premium reimbursement plans.

Benefit broker compensation problems, an existing health law and a tough exchange board have forced advisers in this state to take a backseat to the implementation of Obamacare.

If your wellness program consists of a health risk assessment and nothing else, you may be missing the bigger picture. While the tools can yield important information, they may ignore broader factors in employees’ lives that are influencing the unhealthy behavior.

Evidence shows that more insurers bring down premiums on the ACA exchanges, which could ease conversations benefit brokers have with the uninsured about affordability of coverage.

Final regulations implementing the ACA’s nondiscrimination rules for wellness programs became effective in January, but many employers are still unclear about how the regulations have changed. The changes are subtle, but noncompliance can carry heavy penalties.

UBA’s chief executive officer Thomas Mangan has left his position with the industry group to serve as president of employee benefits for the Market Financial Group.

Even though more than one-in-four Americans have received treatment or therapy from a mental health professional, few people know that health insurers are required to provide coverage for mental health, behavioral health and substance-use disorders that is comparable to coverage for physical health.

Individuals could pay more than twice as much for prescription drugs with certain exchange plans, as employers that provide health coverage gain another asset to leverage.

Mirroring a recent HHS initiative, some state-run marketplaces such as Covered California have extended a special enrollment period for COBRA-eligible individuals, allowing them to enroll in a marketplace exchange plan through July.

Everyone understands that advertising helps sell products and that was the top way to sell health plans through the public exchanges. But looking back on the first open enrollment, which advertising techniques worked and what lessons were learned to raise the number of enrollees further for 2015?

While health care costs are growing more slowly than in years past, the increases are unsustainable over the long-term, say those in the industry.

The breakdown of states running their own health insurance exchanges versus those using the federally facilitated marketplace will change in due time – but exactly how it will change is still up in the air, said a speaker at Wednesday’s National Health Insurance Exchange Summit, held in Washington, D.C.

The concept of limiting coverage of spouses through the implementation of a surcharge or waiver program has been talked about for years. This is a microcosm of the employee benefits environment where employers are considering every possible cost-control strategy.

There’s an end to ambiguity on whether direct payments — for certain kinds of coverage — are taxable or not.