Marketplace Notices: Your Chance to Appeal

On July 26, 2016 By Tevis

Within the last three weeks, we have received calls from plan sponsors about letters sent to them from Covered California involving employees who have been granted a Marketplace subsidy. It is worth noting that the Affordable Care Act (ACA) originally … Continue reading


January BenefitsBuzz

On December 28, 2015 By Tevis

ACA Repeal Passes Senate, Veto Expected On Dec. 3, 2015, the Senate voted 52 to 47 to repeal large parts of the Affordable Care Act (ACA)—marking the first time that the Senate has passed a bill that would repeal the … Continue reading


Self-Funded Health Plans Reminder: Reinsurance Fee Reporting

On October 12, 2015 By Tevis

The Affordable Care Act (ACA) requires self-funded group health plans to fund a Transitional Reinsurance Program in place from 2014-2016. Congress intended that the transitional reinsurance fee would provide funding to insurers that incur high claims for enrollees in the … Continue reading


July BenefitsBuzz

On June 25, 2015 By Tevis

Family Plans Must Embed Out-of-pocket Limits in 2016 The Affordable Care Act (ACA) requires non-grandfathered health plans to limit an enrollee’s out-of-pocket costs for essential health benefits each year. This annual limit is often referred to as the “out-of-pocket (OOP) … Continue reading


May BenefitsBuzz

On April 28, 2015 By Tevis

HHS Issues Final Rule Affecting ACA for 2016 On Feb. 27, 2015, the Department of Health and Human Services (HHS) published its final Notice of Benefit and Payment Parameters for 2016. This final rule describes benefit and payment parameters applicable … Continue reading


More Insured Americans, Obamacare

On April 20, 2015 By Tevis

The value of your personal health and that of your family’s cannot be quantified in dollars and the peace of mind which results in not having to sacrifice financial security for physical security, is just as priceless. As one of … Continue reading


April 2015 BenefitsBuzz

On March 26, 2015 By Tevis

New Guidance for Employer Payments of Individual Premiums In late February, the Internal Revenue Service (IRS) released Notice 2015-17, which offers guidance on the prohibition of employer payment plans. These plans are arrangements that pay for or reimburse premiums for … Continue reading


January 2015 BenefitsBuzz

On December 31, 2014 By Tevis

HHS Issues Proposed Benefit and Payment Parameters for 2016 On Nov. 21, 2014, the Department of Health and Human Services (HHS) issued the 2016 Notice of Benefit and Payment Parameters Proposed Rule, which contains several proposed changes for 2016. Among … Continue reading


The Affordable Care Act: Preparing for Reporting Requirements Data Collection for Calendar Year 2015!

On September 30, 2014 By Tevis

The Affordable Care Act (ACA) reporting requirements are extensive. Whether the insurer does the filing (insured health plans) or the plan sponsor of self-insured health plans does the filing, a new administrative burden is upon all plan sponsors as of … Continue reading


September 2014 BenefitsBuzz

On August 28, 2014 By Tevis

IRS Releases Draft Forms for Health Coverage Reporting On July 24, 2014, the Internal Revenue Service (IRS) released draft forms for employer reporting of health coverage. These draft forms are intended to prepare stakeholders (such as employers) for new reporting … Continue reading