Marketplace Health Insurance – Page 6 – Total Benefit Solutions Inc

Health Insurance Nondiscrimination Rules Small Business Owners Need to Know

June 22, 2022July 14, 2022Ed MacConnell

Group health plans and tax-favored accounts—including health savings accounts (HSAs), health flexible spending arrangements (health FSAs), and health reimbursement arrangements (HRAs)—are subject to numerous nondiscrimination provisions under federal law. The most common nondiscrimination provisions are described. Please download the entire bulletin for details. As always please contact your Total Benefit Solutions, Inc group account manager at (215)355-2121 with any questions or concerns. This bulletin covers the following topics: Overview General Rules Section 125 Nondiscrimination Rules for Cafeteria Plans Section 105 Nondiscrimination Rules for Self-Insured Plans HIPAA Nondiscrimination Rules Nondiscrimination Rules Related to Medicare-Eligible Individuals Other Nondiscrimination Rules Additional Information

2022 PCOR Fee Filing Reminder for Self-Insured Plans

June 16, 2022Ed MacConnell

The Patient-Centered Outcomes Research (PCOR) fee filing deadline is August 1, 2022, for all self-funded medical plansand HRAs for plan years ending in 2021. The IRS issued Notice 2022-04 announcing the adjusted fee amount for this year. please download the bulleting below for more details and contact your Total Benefit Solutions, Inc. health insurance specialist at (215)355-2121.

Download the latest guide to COBRA and Mini COBRA

June 14, 2022June 12, 2022Ed MacConnell

COBRA can be confusing for small and larger employees alike. Our quick guide to COBRA is here to make it easier. it’s simple and free to download! COBRA is not only an employer mandate but can also effect people on the health insurance marketplace! Take a look and then ask your Total Benefit Solutions, Inc health insurance specialists how COBRA effects you or your group.

6 Questions to ask your Benefits Broker

June 10, 2022June 10, 2022Ed MacConnell

2022 Patient-Centered Outcomes Research Trust Fund (“PCORTF”) Fees

May 23, 2022May 23, 2022Ed MacConnell

2022 Patient-Centered Outcomes Research Trust Fund (“PCORTF”) Fees May 23, 2022 This Allied Update serves as a reminder that the annual Patient-Centered Outcomes Research Trust Fund (“PCORTF”) fees are due by July 31, 2022. By way of background, at the end of 2019, the Federal Government reauthorized the annual payment of fees by health insurers and group health plans into the PCORTF until 2029. (Such payments were previously set to expire for plan years ending on or after October 1, 2018 and before October 1, 2019, and beyond.) The fee is due by July 31 of the calendar year immediately following the last day of the plan year in which… Read More

Fully Insured vs Level Funding: What’s the Difference?

May 12, 2022May 11, 2022Ed MacConnell

With fully insured plans, premiums are paid directly to the insurer. Claims accountA claims account is exactly what it sounds like. A portion of the monthly payment is used to pay for claims submitted by plan members. Stop-loss InsuranceStop-loss is an employer’s safety net. This protects the employer against higher-than-expected claims. With level-funding, employers will never have to pay more than the amount they are responsible for funding the claims account each year. After that, stop-loss insurance kicks in. Administrative costsAdministrative services are provided to the employer so they can spend their time focusing on their business while a third-party administrator handles plan management such as paying claims, customer service,… Read More

Support for your emotional health

May 12, 2022May 11, 2022Ed MacConnell

Virtual care visits from MDLIVE® IBC members pay $0 cost-share* You have access to care from therapists, psychologists, and psychiatrists who can help with concerns likeanxiety, depression, and panic disorders. With telebehavioral health from MDLIVE, you pay $0 costshare* for a confidential visit in the comfort of yourhome, or wherever you are. Choose to have your virtual care visit by video chat, using the MDLIVE website or mobile app, or by phone.

Proposed Regulations to Fix ACA’s Affordability “Family Glitch”

May 10, 2022May 9, 2022Ed MacConnell

individuals are not eligible for premium tax credits in the Marketplace

HealthCare.gov Notices New Class of Individual Employer Policies

May 2, 2022Ed MacConnell

hCare.gov managers are signaling that they think individual coverage health reimbursement arrangements matter. The regulators in charge of the federal Affordable Care Act public exchange system today gave ICHRAs official attention, by adding an ICHRA use reporting requirements for the insurers that sell coverage through HealthCare.gov. Click here for the full story on Think Advisor.com

Independence is covering OTC COVID‑19 test kits through pharmacy benefits

January 31, 2022January 25, 2022Ed MacConnell

2021 MLR Rebate Checks Recently Issued to Fully Insured Plans

September 22, 2021September 21, 2021Ed MacConnell

How is COBRA health insurance affected if I am disabled?

September 21, 2021September 21, 2021Ed MacConnell

Medicare Supplement Plan F or G?

August 20, 2021October 20, 2021Ed MacConnell

Many of our clients ask what is the “best” Medicare supplement that they can buy. While there is no overall “best”, the Medicare Supplement Plan F is generally considered the most comprehensive coverage among Medicare supplements due to the fact that most services are covered without any member co-pay or cost sharing at all. Keep in mind that Medicare supplements, like Plan F do not cover prescriptions and that a beneficiary with Medicare supplement will need to have other coverage for prescription drug coverage. A little known fact about Medicare supplements is that they do not have an annual “open enrollment” period so a beneficiary with a supplement can… Read More

AmeriHealth New Jersey prepares to comply with new Transparency requirements

August 19, 2021August 19, 2021Ed MacConnell

2021 Second Quarter Compliance Bulletins Compilation

July 7, 2021July 7, 2021Ed MacConnell

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

Achieve Well-being Rewards

July 1, 2021June 30, 2021Ed MacConnell

Supreme Court Dismisses Latest Challenge to the ACA

June 29, 2021June 29, 2021Ed MacConnell

What does the health insurance term “Play or Pay” mean?

June 24, 2021June 23, 2021Ed MacConnell

SCOTUS Upholds Affordable Care Act Ruling

June 22, 2021June 22, 2021Ed MacConnell

Tax Advantaged Benefit Documents

June 18, 2021June 18, 2021Ed MacConnell

This site is dedicated to providing employers with the tools they need to successfully establish these written plans with SPDs at the lowest cost possible.

Alternatives to Health Insurance Benefits

June 13, 2021June 18, 2021Ed MacConnell

What is Blue Card PPO?

June 11, 2021June 18, 2021Ed MacConnell

Family Dental & Vision Plans

June 3, 2021June 3, 2021Ed MacConnell

What is Modified Adjusted Gross Income (MAGI)?

June 3, 2021June 3, 2021Ed MacConnell

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