Category Archives: Benefits

Benefits

Business owners overestimate workers’ desire for health insurance

Posted on by HPA

The main reason employers offer health insurance to their employees, as we all know, is to attract and retain quality workers. The assumption is that employees appreciate the benefit so much that they factor it into their decision to accept the position and stay with the company. But is that correct? Do employees really value the health insura... (read more)

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New report says small companies are dropping coverage

Posted on by HPA

Well, the migration from group to individual coverage isn’t happening quite as quickly as we originally predicted, but it is definitely happening. As reported in the NAHU Newswire, a new report released by the Agency for Healthcare Research and Quality (part of the Department of Health and Human Services) and discussed in the Congressional Q... (read more)

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BCBS of Texas to drop individual PPO plans

Posted on by HPA

In an effort to stop the bleeding, the largest individual carrier in one of the largest states in the nation has made the bold decision to drop its individual PPO plan both on and off the exchange. Blue Cross Blue Shield of Texas, which lost $400 million last year on its individual health business, announced yesterday that, going forward, the ... (read more)

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SSM creates SEP

Posted on by Eric Johnson

June was a huge month for the Supreme Court. Not only did we receive the long-awaited decision on the premium tax credits, confirming that they are indeed available in every state, but the Court also issued a historic ruling permitting same-sex marriage nationwide. We all know the implications of the King v. Burwell decision - it means t... (read more)

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Baby or not, Obamacare has you covered

Posted on by Eric Johnson

As most people know by now, the Affordable Care Act created a number of changes in the individual health insurance market. Not only are all plans now guaranteed issue with no pre-existing condition exclusions, limitations, or surcharges, individual health policies now cover all essential benefits as well. That means that conditions like matern... (read more)

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Employees are paying more, getting less

Posted on by HPA

That, in just a few words, is the conclusion reached in a new Commonwealth Fund report released this week. Though the cost of health care, which had been increasingly rapidly over the past decade, has slowed a bit in the past couple years, employees don’t seem to be feeling the benefit. According to the report, which examines insurance pr... (read more)

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Employees confused by skinny plans may miss out on subsidies

Posted on by HPA

In an effort to avoid the across-the-board penalty under the employer shared responsibility requirement, some large employers are offering “skinny” plans to their full-time employees. These plans do qualify as minimum essential coverage and therefore satisfy the 4980H(A) employer mandate requirement as well as their employees’ individual... (read more)

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New Wave of Policy Cancellations

Posted on by HPA

In what will certainly be a controversial issue heading into the mid-term elections, individual policy holders across the country are receiving cancellation letters informing them that their non-compliant plans will be terminated at the end of the year, and even more are expected to receive letters at this time next year. The Affordable Car... (read more)

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Administration may kill plans without hospitalization

Posted on by HPA

We’ve all heard about employers offering skinny plans, also known as Minimum Essential Coverage or MEC plans, as a strategy to avoid the across-the-board $2,000 penalty on most of their full-time employees for failing to offer group health coverage next year. These skinny plans, while considered minimum essential coverage, do not provide min... (read more)

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Employer-sponsored coverage not as valuable as it used to be

Posted on by HPA

Ever since the Affordable Care Act was signed into law, we’ve talked about how the health reform law makes employer-sponsored coverage less beneficial for employees. There are three reasons for this position: 1. All plans are now guaranteed-issue, so employees and dependents with pre-existing medical conditions have other options; they n... (read more)

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