Reductions in Transitional Reinsurance Fee Are Possible but Unlikely

Employers might pay less than $63 per covered life per year under health reform’s transitional reinsurance fee rules, but that would require a surplus in the fund, a U.S. Department of Labor official told an employer plan industry group on April 18 in Washington, D.C. Even though poss
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Helping Consumers Apply & Enroll Through the Marketplace

 Starting October 1, 2013, consumers in all states will be able to choose new affordable health insurance options through a new Health Insurance Marketplace. Some states are setting up a State-based Marketplace, other states will work with the federal government in a State Partnership
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CMS Sets Termination Dates For Processes Under ACA’s Early Retiree Reinsurance Program

The Centers for Medicare and Medicaid Services (CMS) has issued a notice that sets forth termination dates for several processes under the Early Retiree Reinsurance Program (ERRP) in preparation for the Jan. 1, 2014, program sunset date. The notice is scheduled to be published in the
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Assessing the Effects of the Economy on the Recent Slowdown in Health Spending

Health spending has been growing at historically low levels in recent years. The Office of the Actuary (OACT) in the Centers for Medicare and Medicaid Services reports that national health spending grew by 3.9% each year from 2009 to 2011, the lowest rate of growth since the federal g
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New Website Will Disclose Health Industry Payments To Doctors

For the first time, the government will make information about financial relationships between doctors, teaching hospitals and drug manufacturers publicly available. To comply with a provision in the Affordable Care Act, drug and device manufacturers, along with group purchasing organ
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Nondiscrimination rules an elephant in the room

Health care reform is here, and benefits managers everywhere are frantically planning to meet the new requirements. The problem is that planning with the rules currently in place is like trying to build a skyscraper on a piece of swampland in the Florida Everglades. As most employers
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Health Care Reform Questions – Coverage for Dependent Children

As part of the employer mandate, employers will be required to offer health coverage to the dependent children of their full-time employees. One of my clients has never offered dependent coverage in the past and plans to offer coverage to dependent children in 2015, but will not ready
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Proposed Illinois Senate Bill 1873 Could Mean ‘End of Group Self-Insurance for Work Comp’

Illinois legislators have introduced Senate Bill 1873 that would have significant impact to group self-insurance. Key points A certificate of authority is required for a group self-insurer to be deemed to be a qualified group workers’ compensation pool. A group workers’ co
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Feds Pressure NAIC to Eliminate Small Business Self-Funding Options

The National Association of Insurance Commissioners (NAIC), under pressure from three federal agencies — the Department of Health and Human Services, Department of the Treasury, and the Department of Labor — is considering a change to the minimum threshold, called the atta
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Munich Health Survey: Increase in Self-Funding Anticipated

PRINCETON, NJ — Health insurance executives expect U.S. employers to increasingly self-fund their group health insurance plans as a result of the Affordable Care Act, according to a survey released today by Munich Health North America, a subsidiary of Munich Re, one of the world
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