These Federal Poverty Guidelines offer critical information to benefit consultants to better assist them with helping people in need, such as: On the Federal Exchanges, the House Hold income determines a member's eligibility for subsidizes and cost cost sharing (many people still don't understand how this works) Practically all Pharmaceutical Companies are required to off [...]
http://www.ebia.com/WeeklyArchives/Statutes/22011
Story found at: http://www.benefitsinbrief.com/article/another-court-enforces-dols-electronic-spd-rules (Benefits Brief) At some point, as electronic communication becomes the norm – and as paper virtually disappears from the workplace – we will surely see a softening of the conditions imposed by the Department of Labor (“DOL”) on the electronic distribution of summary plan descriptions (“SPDs”). But a recent decision by a [...]
This will have some long-term consequences for the industry but makes a good case for Self Funding with an Independent TPA & Independent Network Solution. Blue Cross was essentially doing what is common practice in the PBM industry - paying the service provider one amount while billing the Plan Sponsor a much higher amount and [...]
PEOs Professional employer organizations (PEOs) enable clients to cost-effectively outsource the management of human resources, employee benefits, payroll and workers' compensation. PEO clients focus on their core competencies to maintain and grow their bottom line. Who uses a PEO? Any business can find value in a PEO relationship. An average client of a PEO member [...]
Multiple Employer Welfare Arrangement (MEWA): Group of unrelated employers form a coalition to gain greater economy of scale in offering health benefits to their respective employees – can be fully insured or self funded and tends to be state specific Troubled past – organizers frequently used ERISA preemption clause as a shield against State Regulators [...]
Great motivational video, for both sports and business alike. The road of success is littered with failures......ask any CEO of a Fortune 500 company, or an athlete in the Hall of Fame. It's hard to get back up and fight after you've been kicked in the teeth repeatedly but success is a game of inches......he [...]