Insurance carriers are required to satisfy certain medical loss ratio thresholds. If these thresholds are not satisfied, rebates are available to employers in the form of a premium credit or check.
President Biden announced a “Path out of the Pandemic,” indicating that he will use regulatory powers and other actions to increase the number of vaccinated Americans. His plan includes a
The Consolidated Appropriations Act, 2021 requires plan sponsors of group health plans to submit information annually about prescription drugs and health care spending . The Centers for Medicare
The Departments of Labor, Health and Human Services, and the Treasury recently published final rules on the No Surprises Act, making changes to the administrative duties of insurance carriers, HMOs,
The New Jersey Division on Civil Rights recently finalized regulations requiring employer to display posters informing people of their rights under New Jersey’s Law Against Discrimination and
For plan years beginning on or after January 1, 2023, group health plans must provide for advance disclosure of cost-sharing information to enrollees seeking health services.
As the American workforce continues to be dispersed in a hybrid work environment, the impact on company culture cannot be ignored. With workers less likely to see their connection to the mission and
A focused strategy can be developed after reviewing claim utilization data and employee demographic information; and conducting an analysis of HR and benefit administration technology and enrollment
By implementing a technology process, employers can simplify benefit and payroll structure while increasing compliance and warding off potentially costly penalties and fines.
Ask the Experts - August 2022, Podcast
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