How Does The Individual Mandate Work?

  Beginning January 1, 2014, taxpayers (with certain limited exemptions) will be assessed a tax for any months during which they or their dependents lack minimum essential coverage. An individual has three choices: (1) qualify for an exemption, (2) get minimum essential coverage (with or without government assistance if under the Exchange), or (3) pay the individual mandate. Click here for the full story  

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Reports Of Troubles Surrounding HealthCare.gov Piling Up.

Reports Of Troubles Surrounding HealthCare.gov Piling Up. This Report from NAHU.org Reports continue to pile up of growing troubles surrounding healthcare.gov, the Federally-run insurance marketplace set up under the Affordable Care Act which opened for enrollment October 1. Whether technical, financial, or political, the issues will likely be brought to the forefront as the budget negotiations fade from view. Thursday night, NBC Nightly News reported, “Had it not been for the government shutdown becoming our lead story for these past 16 days and nights, it may well have been Obamacare and the incredibly rocky rollout for the Federal government’s healthcare website.” The report continued, “Some Republicans are saying the Secretary… Read More

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Medical Savings Accounts for Medicare Members

Questions about Medicare medical savings accounts, or Medicare MSA’s? Click here to learn more about: Geisinger Gold MSA Click here for Frequently Asked Questions: FAQs about MSAs Want more information? Have more questions? Is a Medicare MSA plan the right fit for you? Call us today at (215)355-2121 to find out more!

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Important Information about Registering for the Marketplace

We are pleased to help our clients get enrolled and compare plans on the new health insurance marketplace. However please follow the instructions below so that we can assist you. Please note that we will not have access to your record to work with you if you do not complete the registration properly. The agent/broker should work with the consumer to make sure that the consumer enters the agent’s/broker’s identifying information, including National Producer Number (NPN), so that the FFM can associate the transaction with the agent/broker so that an issuer may facilitate compensation. Log in at http://www.healthcare.gov and register… When the consumer is logged in to the healthcare.gov page,… Read More

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Health insurance exchanges open, users can’t get in

Health insurance exchanges open, users can’t get in Read more at http://www.philly.com/philly/health/healthcare-exchange/Health_insurance_exchanges_open_users_cant_get_in.html#2x1EoEfcyXeZyOyb.99

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An Era ends in the health insurance world

At the end of the day today, health insurance as we have known it will begin it’s final lap. When  the clock turns to 12:01 AM tomorrow, October 1st 2013 a new era begins. With effective dates of January 1st 2014, the new healthcare marketplaces will open online for consumers, and on paper for small businesses. Available will be plans from multiple insurers in each state, with more to come in the future. The most important differences will be that all plans will cover pre-existing conditions. No applicants will be turned away because of their current health conditions, or ones in the past. New rating methodologies will change which will… Read More

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Health care is changing, but you can still count on Delta Dental’s Small Business Program

From: Delta Dental….   Health care is changing, but you can still count on Delta Dental’s Small Business Program. At Delta Dental, we’ve always been dedicated to providing the very best dental coverage to small businesses, at affordable prices. And, that hasn’t changed, even with health care reform and the Affordable Care Act. In fact, there is no need to disrupt your clients’ dental benefits. Plus, we’ll continue to partner with general agents and brokers like you, with no change in commissions or administration services. Our Small Business Program still offers A wide variety of plan options with benefit flexibility A range of prices and rate stability with group purchasing power… Read More

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Another ACA delay announced today!

We wanted to keep you informed of the recent announcement today from the Department of Health and Human Services that they are going to delay online enrollment for the Federally Facilitated SHOP Marketplace until at least November 1, 2013. Additionally, the Spanish Language version of Healthcare.gov will not be fully up and running until at least the end of October. The SHOP Marketplace will only be able to accept paper applications on October 1st. The SHOP will have a list of carriers participating, plan and rate summaries available for review, but the full functionality of the online comparisons, will not be available until at least November 1st. We will continue to keep… Read More

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Medicare and You 2014 now available

The Medicare and You guide for 2014 is now available. This official government booklet tells you: Summary of Medicare benefits, coverage decisions, rights and protections, and answers to the most frequently asked questions about Medicare. Click here to download your copy. Click here to order a printed version to be mailed to you Have questions about your Medicare coverage or Medicare supplements? Call us today at 215-355-2121              

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Pa. exchange to offer among lowest-cost premiums

MARC LEVY, THE ASSOCIATED PRESS POSTED: Wednesday, September 25, 2013, 12:47 PM HARRISBURG, Pa. (AP) – Pennsylvania residents who buy health insurance in the federally run online marketplace that opens next week will pay below the national average, and the state ranks 10th-lowest out of 47 for which data were available, according to figures released by the Obama administration Wednesday Read more at http://www.philly.com/philly/health/healthcare-exchange/20130925_ap_a538678248dd48d4a01aeac5a317bd89.html#FC6ES4fPLzY6X3Ve.99   click here to read the story

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New Jersey exchange rates among most expensive

BY THE ASSOCIATED PRESS September 25, 2013 • Reprints TRENTON, N.J. (AP) — A report out Wednesday from the federal government finds that health insurance prices on New Jersey’s exchange will be among the most expensive in the country for those without subsidies. The report from the federal Department of Health and Human Services comes less than a week before the launch of the state health exchanges that are a key element of President Barack Obama’s health insurance overhaul. The idea is that the exchange offers otherwise uninsured people a way to get their own insurance, in many cases with a federal subsidies. Residents will be able to sign up for coverage… Read More

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Introducing Aetna’s “Our Healthy”

Aetna is collaborating with plan sponsors, providers and producers to help rebuild the health care system Via Aetna: Earlier this year, on TV, online and in print, we started asking a simple question: What’s your healthy?SM Our Healthy is a call-to-action to transform the healthcare system in ways that favor patients over process, innovation over bureaucracy, and convenience and quality over complexity and chaos.   Click here for more information about “our healthy”  

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Total Benefit Solutions to offer Health Partners Plans

Total Benefit Solutions is proud to announce that we have teamed up with Health Partners Plans for the upcoming 2014 Medicare Open Enrollment. Stay tuned for upcoming announcements regarding the plans, choices and benefits. We are excited about this opportunity to add another quality plan choice to further our commitment to our clients in the Medicare population. .

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Get health insurance for your employees from the SHOP

Get health insurance for your employees The Small Business Health Options Program (SHOP) is a new way to buy high-quality health insurance for your employees. It opens for business October 1, 2013. Get ready now by answering a few quick questions to learn what you need to know. Remember, your independent brokers at Total Benefit Solutions can guide you through the process and help you make the best decision for your company AND your employees!

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Same-Sex Spouses: Updated FMLA and Tax Guidance

In June 2013, the U.S. Supreme Court struck down Section 3 of the Defense of Marriage Act (DOMA) as unconstitutional. This opened the door for federal recognition of same-sex marriages in states that recognize such unions. The Obama administration has pledged a thorough and expedited review of federal laws, including federal benefit laws. We expect the agencies to release guidance soon with regard to various health and welfare compliance requirements associated with the tax guidance, potentially including, but not limited to, COBRA qualified beneficiary determinations, Form W-2 reporting changes, plan document, SPD and cafeteria plan document amendments, open enrollment and new hire packet language changes, etc. Click here to download… Read More

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Here’s how the Health Insurance Marketplace helps women

We have good news for women who care about their health! You have new rights and protections in the Health Insurance Marketplace starting in 2014. Click here to read this update on healthcare.gov    

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Corbett to propose big Medicaid changes

HARRISBURG – Gov. Corbett will announce his plan Monday to expand health coverage for the poor by using public dollars to finance commercial insurance for 500,000 uninsured Pennsylvanians… Corbett, ending months of speculation about whether the state would take advantage of billions in Medicaid dollars, will seek approval from the federal government to provide private health coverage rather than expand the state’s Medicaid rolls, say several people who were briefed on the plan. Read more at http://www.philly.com/philly/news/politics/20130914_Corbett_to_propose_big_Medicaid_changes.html#iRGhs84yyBMXqMVm.99  

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Reminder to Distribute Creditable Coverage Notice

Employers who sponsor a group health plan with prescription drug benefits are required to notify their Medicare-eligible participants and beneficiaries whether the prescription drug coverage offered under their plan constitutes “creditable” or “non-creditable” coverage. This notification must be provided prior to October 15 each year. Click here to download the Medicare Part D Reminder

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Urgent Update on Exchange Notice Penalty

There have been many questions regarding whether employers can be penalized for failing to provide employees with the Exchange Notice, due by October 1, 2013. On September 11, 2013, the U.S. Department of Labor issued an FAQ regarding the Exchange Notice. The DOL has provided that while employers covered by the Fair Labor Standards Act should provide the Exchange Notice by October 1, there is no fine or penalty under the law for failing to provide the notice. Click here to download today’s exchange notice

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IBC teams up with Guardian to offer ancillary products

Independence Blue Cross has teamed up with Guardian to provide their clients with a selection of quality specialty ancillary products to supplement their medical plans. Specialty products include life, disability critical illness and cancer. Click here to read the rest

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Total Benefit Solutions Inc. Partners with Zane Benefits for Defined Contribution- HRA offer to employers

What is a HRA / defined contribution plan? Total Benefit Solutions has partnered with Zane Benefits to offer our clients an affordable, state of the art, compliant HRA/Defined Contribution plan. With reform fast approaching, many employers large and small will consider this arrangement to offer their employees a quality, flexible, easy to use  and competitive benefit package. Click here to learn more.

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United Concordia Introduces Online Individual Dental Plans

  United Concordia has rolled out the iDental platform! With iDental individuals and families can enroll on a dental plan who do not have coverage through their employer. There are five plan options to choose from and annual maximum benefits as high as $1500 per family. Best of all, you can quote and enroll the coverage instantly online. Click here to get a free dental plan quote!

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Update on Exchange Notice Requirement for All Employers

Most employers must provide their employees with written notice that includes information regarding the Exchange (now called the Health Insurance Marketplace). The deadline to provide the notice is approaching; the notice must be provided to each employee not later than October 1, 2013. Employers are free to move forward with providing this notice, but may want to wait until closer to the deadline (perhaps early-mid September) in the event additional guidance is issued or the Exchanges are further delayed.  Click the link below to download the notice. Exchange Notice Reminder – 82113R

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How the New Health Insurance SHOP for Small Business Will Work

Wondering how the new Health Insurance Exchange or Marketplace is going to work? the SHOP Marketplace is for small businesses with 2 to 49 employees. This simple graphic should help. Contact Total Benefit Solutions at (215)355-2121 or www.totalbenefits.net for professional assistance!  

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How the New Health Insurance Marketplace Works

Wondering how the new Health Insurance Exchange or Marketplace is going to work? This simple graphic should help. Contact Total Benefit Solutions at (215)355-2121 or www.totalbenefits.net for professional assistance!

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