The inability of people without insurance to pay their medical bills is a growing problem in our country. But now that health insurance coverage is guaranteed issue, and the maximum cost has been set by the ACA to be at…
C-Suite, HR Executives, and Brokers, have a fiduciary responsibility to employees. That responsibility is to make benefits choices that don’t unnecessarily bleed employees’ take-home pay. But health insurance is complicated stuff, and it’s easy to make mistakes. So here are…
We round up our series about getting control over benefits costs with a short discussion about healthcare finance. Which is really all about deciding what should actually be insured or not! Medical claims fall into two categories: one being the…
Q1. What are employers required to offer their Medicare-eligible active employees? A1. Employers are required to offer active employees age 65 or over the same group health plan coverage offered to younger workers. Workers with Medicare-eligible spouses must be offered…
The Administration has put forth 2 new types of HRA’s, slated to become effective in January, 2020. Similar in some respects to the Qualified Small Employer HRA’s (QSEHRA), there are some differences that are worthy of note. Here they are:…
This newsletter continues with the theme we outlined in the beginning of the year: how to harvest business from your competitors and shore up your own book of business. One way to become a true hero to your clients and…
In January, we promised to publish a series of newsletters about how employers can get control of their benefits expenses. This is the first in that series, and it’s about consumer behavior: how do you design a medical benefit plan…
For many producers, it was a rough renewal season. Employers and employees are truly frustrated with rate increases and are beating on their advisors to come up with solutions. Not spreadsheets or explanations. They want solutions. Solutions to the underlying causes of those rate…
AHR plans typically reduce medical claims by about 30%, compared to copay style plans. This is because the group only pays for claims actually incurred, instead of some estimate of how much will be incurred. When used in tandem with…
Here’s how: Stop paying for medical claims that will never be incurred. A smart plan design, along with a level Funded, captive Insurer or even a fully funded HDHP approach, will cut claims and return the savings to your client. …