A recent court decision highlights an administrative process known as cross-plan offsetting, a mechanism used by TPAs to resolve overpayments to a provider. Based on the court's ruling, employers
The Departments finalized rules creating two new Health Reimbursement Arrangement (HRA) options available to employers beginning January 2020. Excepted benefit HRAs will be discussed in a separate
COVID-19 and Government Funding Legislation Signed into Law
Where insurance carriers have not satisfied certain medical loss ration (“MLR”) thresholds, rebates are made available to employer. These rebates were required to be distributed by carriers to
Massachusetts Establishes COVID-19 Emergency Paid Sick Leave
The Department of Health and Human Services recently published its Annual Notice of Benefit and Payment Parameters for 2022. For purposes of employer-sponsored health plans, the final rule includes
The New Jersey Department of Banking and Insurance recently issued Bulletin No. 21-08, which establishes a new notice requirement for small employers of fully insured group health plans subject to
On May 10, 2021, HHS announced that it will interpret and enforce Section 1557’s prohibition on discrimination on the basis of sex to include discrimination on the basis of sexual orientation and
While most industry professionals would agree the COVID-19 pandemic will impact health insurance premiums, few have a grasp yet on just how significant any increase will be. Until we know more, one
Most businesses today have come to the realization that the traditional 9-5 in-office workday has permanently transitioned to a hybrid environment where employees work from the office some days and
Our Advisors offer in-depth analysis and are ready to help you successfully navigate employee benefits and health insurance.
Our website uses cookies. Click here to view our privacy policy.