Health care reform boosts number of wellness incentives employers can offer

Midsize employers will have greater clout to reward workers’ healthy behaviors under the Patient Protection and Affordable Care Act, which boosts the amount of financial incentives that employers can offer beginning in 2014. While permissible financial incentives are limited to
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Obama benefits proposal criticized for retirement plan cap

An Obama administration proposal that would ban employees from earning additional benefits once the value of benefits earned in all their retirement plans hit a current cap of $3.4 million would be confusing, difficult to administer, and discourage some employees from making new contr
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Rhode Island HB 5459 Action Alert

April 30, 2013 – The Self-Insurance Institute of America, Inc. (SIIA) has learned that the Rhode Island House of Representatives will bring HB 5459 to the floor on Wednesday May 1 for consideration.  Key provisions of HB 5459 include:  Attachment Point Requirements for Small Emp
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Scheduled to be voted on the floor of the House THIS WEEK — Saturday, May 4

 This is the “Anti-Subrogation” bill, and it would legislatively limit a Plan’s contractual right to be reimbursed for medical care if the member/patient received less than a full recovery from a third party who might have liability. Based upon the outcome of persona
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Scheduled to be voted on the floor of the House — Tuesday, April 30:

 This is the “Silent PPO” bill in its fourth iteration; TABA has successfully quashed this legislation in the past three legislative sessions. This year, hoping to neuter our opposition, the bill omits the requirement that TPAs or their employer-clients register as PPOs ba
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California Bill That Would Stifle Self-Insured Health Plans

The Self-Insurance Institute of America, Inc. (SIIA) communicated its opposition to a state bill that would threaten the employer-sponsored health benefit plans of thousands of California employees and their dependents particularly among small-to medium-sized businesses. The proposed
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Colorado Stop-Loss Legislation Advances

The Colorado House of Representatives brought HB 13-1290 to the floor for a final vote on Monday April 22. It passed the House and has now been sent to the Colorado Senate. It is currently awaiting a hearing date in the Senate Health Committee. As previously reported, HB 13-1290, spon
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MGU Liability in Stop Loss Litigation

According to industry experts, roughly 25% of the $4-$6 billion annual stop loss market is sold through independent Managing General Underwriters. Another unknown, but certainly hefty, share is sold through “captive MGUs” — MGUs wholly owned or controlled by carriers
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Millions Can’t Afford to Go to the Doctor

A growing number of Americans are skipping needed medical care because they can’t afford it.  Some 80 million people, around 43% of America’s working-age adults, didn’t go to the doctor or access other medical services last year because of the cost, according to the
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Boston victims face huge bills; donations pour in

Boston Marathon bombing victims face huge medical bills; tens of millions in donations pour in  Cost of amputating a leg? At least $20,000. Cost of an artificial leg? More than $50,000 for the most high-tech models. Cost of an amputee’s rehab? Often tens of thousands of dollars
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