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Total Benefit Solutions Inc

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(215)355-2121
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Tag: #smallgrouphealthinsurance

Individual Coverage HRA: Choice and affordability in employee health benefits

March 6, 2023March 3, 2023Ed MacConnell

How HRAs work Health Reimbursement Arrangements are employer-funded accounts that reimburse employees for eligible medical expenses. No employee contributions are allowed. Since an HRA is funded only by the employer, the employer sets the rules of the plan. The ICHRA works much the same as other HRAs, with the following important differences: ICHRA rules Traditional group health plans An employer may not offer an ICHRA and a traditional group health plan (GHP) to employees within the same class. However, an employer may offer an ICHRA to one class of employees and a traditional GHP to another class. Also, a traditional GHP may be grandfathered for current employees while all new… Read More

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Small Group – Form 1095-B: Who receives it and why

February 27, 2023February 21, 2023Ed MacConnell

Form 1095-B is a health insurance tax form used to report certain information to the IRS and taxpayers about individuals who are covered by Minimum Essential Coverage (MEC). What are the IRS reporting requirements? The ACA requires individuals to obtain and report that they had MEC or otherwise qualify for an exemption from the requirement. However, there is no longer an individual tax penalty following the 2017 Tax Cuts and Jobs Act. Individuals may need Form 1095-B to demonstrate MEC for nontax-related purposes. The ACA also requires certain employers to offer all full-time employees and their dependents MEC to meet affordability and minimum value standards. This is known as the… Read More

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What is Small Business Health Options Program (SHOP)?

February 3, 2023January 26, 2023Ed MacConnell

The Small Business Health Options Program (SHOP) helps small business owners provide medical and/or dental insurance to their employees. Some smaller employers qualify for tax credits if they enroll in SHOP insurance. A small business can offer SHOP health and/or dental insurance to their employees if they: Small business owners can use an agent or broker to enroll in SHOP insurance, or work with their insurance company. There’s no limited enrollment period for SHOP, so they can apply, pick plans, and enroll employees any time of year. Interested in SHOP for your small business? Don’t hesitate to contact your Total Benefit Solutions health insurance specialists today at (215)355-2121.

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Total Benefit Solutions#dental, #DentalInsurance, #dentalplan, #Employee, #employeebenefits, #EmployeeHealthInsurance, #EmployeeInsurance, #EmployerBenefits, #EmployerCoverage, #EmployerHealthInsurance, #EmployerInfo, #EmployerInsurance, #EmployerPlans, #Health Insurance Bucks County, #healthinsurance, #HealthInsuranceAgentsNearMe, #healthinsurancebroker, #HealthInsuranceBrokers, #healthinsurancebuckscounty, #healthinsurancefeasterville, #healthinsuranceinPA, #healthinsurancenearby, #HealthInsuranceNearMe, #healthinsuranceNJ, #healthinsurancephiladelphia, #healthinsurancephilly, #MedicalInsurance, #SmallBusiness, #smallbusinesshealthinsurance, #SmallGroup, #SmallGroupCoverage, #smallgrouphealthinsurance, #Tax, #taxes, #TotalBenefit, #TotalBenefits, #TotalBenefitSolutions, #TotalBenefitSolutions #healthinsurance

What is Limited Medical Insurance?

January 29, 2023January 29, 2023Ed MacConnell

A limited medical plan is a form of supplemental health insurance that can be used with or without a major medical plan. Limited medical plans have a set amount of money for treatment that they give to you to pay for common medical expenses. They recognize that common services like wellness visits can sometimes turn into a financial strain for people. Since this type of insurance does not cover everything due to a predetermined limit on what you receive, you will want to look closely at the benefits before choosing a plan. It can be helpful to pair a limited medical plan with a major medical plan. Doctors visits and… Read More

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Prescription drug list updates effective January 1, 2023

December 28, 2022December 27, 2022Ed MacConnell

The Blue Cross and Blue Shield of Kansas City (Blue KC) Medical and Pharmacy Management Committee has reviewed the Prescription Drug Lists (PDLs) and other pharmacy programs for drug safety, effectiveness, clinical outcomes, and cost. As a result, ACA small employer groups, non-ACA small employer groups (including level funded ASO) large employer groups, and ACA individual and family plan members will see the following formulary updates, effective January 1, 2023. Click here to read for more information. As always, please contact your Total Benefit Solutions health insurance specialists today with any questions at (215)355-2121.

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Blue KC: Employer/Group Open Enrollment Dates – Mark Your Calendar

October 21, 2022September 28, 2022Ed MacConnell

Blue KC is pleased to offer two open enrollment deadlines – one for physical ID cards and one for digital ID cards – to provide flexibility to new and renewing groups. Benefit information and open enrollment files/eligibility updates must be submitted to Blue KC based on the following schedule to ensure new ID cards are available to members by January 1, 2023: November 1, 2022 – Paperwork Deadline November 21, 2022 – Eligibility File – Physical ID Card December 16, 2022 – Eligibility File – Digital ID Card Please note: Small groups that make plan changes after this timeframe will receive updated ID cards once their plan changes have been… Read More

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What is the Marketplace?

October 19, 2022September 21, 2022Ed MacConnell

Shorthand for the “Health Insurance Marketplace®,” a shopping and enrollment service for medical insurance created by the Affordable Care Act in 2010. In most states, the federal government runs the Marketplace (sometimes know as the “exchange”) for individuals and families. On the web, it’s found at HealthCare.gov. Some states run their own Marketplace at different websites. Fill out a Marketplace application and you’ll find out if you qualify for lower monthly premiums or savings on out-of-pocket costs based on your income. You may find out if you qualify for Medicaid or the Children’s Health Insurance Program (CHIP). You can shop for and enroll in affordable medical insurance online, by phone,… Read More

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427 East Street Road
Feasterville-Trevose, PA 19053
215-355-2121
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Recent Posts

  • Part D Premiums Are Decreasing for Many Stand-Alone Drug Plans
  • Gag Clause Attestation Due December 31, 2025
  • Highmark Updated Billing Addresses in Pennsylvania
  • Allegheny Health Network and Heritage Valley Health System Sign Affiliation Agreement
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Hours & Info

427 E Street Road
Feasterville, PA 19053
(215)355-2121
Daily: 9am - 5pm or by appointment

Recent Posts

  • Part D Premiums Are Decreasing for Many Stand-Alone Drug Plans November 11, 2025
  • Gag Clause Attestation Due December 31, 2025 November 3, 2025
  • Highmark Updated Billing Addresses in Pennsylvania October 30, 2025
  • Allegheny Health Network and Heritage Valley Health System Sign Affiliation Agreement October 27, 2025
  • 2026 Cost of Living Adjustments October 24, 2025
  • Navigating Delaware Paid Family and Medical Leave October 14, 2025

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