Oxford/UHC: New Reward Program Encourages Pediatric Covid 19 Vaccinations

COVID-19 vaccines are an important step in helping to lessen the spread of the disease. While many adult New Yorkers have been vaccinated, vaccination rates among children remain relatively low. To encourage pediatric vaccination, we are offering New York-situs subscribers whose dependents are enrolled in a fully insured UnitedHealthcare or Oxford plan a $100 pre-paid Target Gift Card. The New York Pediatric COVID-19 Vaccination Reward program is in effect May 5, 2022 through October 1, 2022. Criteria for the New York UnitedHealthcare and Oxford Pediatric COVID-19 Vaccination Reward program Dependent child(ren) must be enrolled on an active subscriber’s New York UnitedHealthcare or Oxford fully insured plan. Dependent must be eligible for the… Read More

Continue Reading

Notice Requirements for Group Health Plans

ERISA requires plan administrators to give plan participants in writing the most important facts they need to know about their group health plans, including plan rules, financial information, and documents on the operation and management of the plan. Some of these facts must be provided to participants regularly and automatically by the plan administrator. Others must be made available upon request, free-of-charge or for copying fees.

Continue Reading

2021 MLR Rebate Checks Recently Issued to Fully Insured Plans

Continue Reading
health insurance meeting

AmeriHealth New Jersey prepares to comply with new Transparency requirements

Continue Reading
health insurance choices

2021 Second Quarter Compliance Bulletins Compilation

This document is a valuable resource, putting all of the latest health care reform news and updates in one location! 

Continue Reading

IRS Guidance Clarifies DCAP Relief

The IRS released Notice 2021-26 to address taxation of Dependent Care Assistance Programs (“DCAPs”) as it relates  to the relief afforded under Section 214 of the Consolidated Appropriations Act, 2021 (“CAA”) and the increased DCAP limit under the American Rescue Plan Act of 2021 (“ARPA”).

Continue Reading

CMS Announces Medicare Plan Finder Improvements

Continue Reading

What is Modified Adjusted Gross Income (MAGI)?

Continue Reading

What is a Qualified High Deductible Health Plan?

Continue Reading

What Is a Health Savings Account?

Continue Reading

Update on COVID-19 Vaccine and Vaccine Administration Cost

Update on COVID-19 Vaccine and Vaccine Administration Cost

Continue Reading

COVID-19 PPE Now a Qualified Medical Expense

Continue Reading

Heard of Reference Based Pricing Health Insurance?

Continue Reading

How Does Level Self Funded Health Insurance Work?

We have received a lot of questions regarding the new level funding health benefit programs so we prepared this video to make it a little easier to understand. Ask us today if Level Funding your group’s health insurance might be a good for for your health plan! Contact your Total Benefit Solutions Account manager at (215)355-2121.

Continue Reading

ARPA Extends Open Enrollment for Individual Coverage in PA

Continue Reading

Enrollment Period at Get Covered New Jersey Extended

More information on the American Rescue Plan Act changes may be found on the Get Covered New Jersey website. Contact your Total Benefit Solutions, Inc health insurance specialist to get enrolled or if you have any questions or concerns at (215)355-2121

Continue Reading

What is Minimum Essential Coverage or MEC health insurance?

Continue Reading

Copays vs Coinsurance: What is the employer impact?

Continue Reading

Departments Issue Guidance Re: FFCRA and CARES Act

Continue Reading

New COBRA Subsidy Begins April 1st under COVID Relief

Continue Reading

COBRA Subsidy in the works

Continue Reading
Continue Reading

Are you an applicable large employer, or not? That’s the question!

Continue Reading

What is a minimum essential coverage (MEC) plan?

Continue Reading

DOL Penalties Increase for 2021

The Department of Labor (DOL) published the annual adjustments for 2021 that increase certain penalties applicable toemployee benefit plans. Private employers, including non-profits, should ensure employees receive required notices timely (SBC, CHIP, SPD, etc.)to prevent civil penalty assessments. In addition, employers should ensure Form 5500s are properly and timely filed, ifapplicable. Finally, employers facing document requests from EBSA should ensure documents are provided timely, asrequested.

Continue Reading