Earlier this year, a nurse at New York Presbyterian hospital posted a photo on Instagram. The photo did not show any people, but captured the image of an ER trauma room after being used to treat a man hit by a subway train.
Recently, UBA Partner Mike Humphrey, Senior Benefits Advisor at The Wilson Agency, shared some great insights for those who are considering doing a dependent audit. He points out three reasons why you shouldn’t do these audits and offers a much better approach to reining in costs associated with covering dependents that should no longer be on your plan.
No matter who you are, no matter where, the Affordable Care Act, one of the largest pieces of legislation in recent history, will affect you…and not always in ways you can foresee, and not always in ways that give credence to what the ACA is meant to…
A more meaningful attempt to manage absences can go a long way toward helping ease the staffing and morale challenges of small and midsize businesses that often feel the impact of absences more acutely than larger firms.
As of January 1, 2014, the Patient Protection and Affordable Care Act (PPACA) requires pediatric dental benefits to be one of the 10 essential health benefits (EHBs) that must be included in individual and small group medical coverage, as well as cover…
PPACA brings numerous responsibilities and options to employers. Below is a summary of the PPACA provisions that apply to group health plans and whether the provision applies to insured small group plans (50 or fewer employees) provided inside and outs…
The month of July brought court cases, draft forms, and a FAQ of interest to group health plans.
A little over a month ago, the Department of Health and Human Services (HHS) released several Q&As regarding the Federally Facilitated Small Business Health Options Program (FF-SHOP). At the time, they stated the FF-SHOP would not support COBRA tra…
The following is a summary of draft forms. Some of this information may change when final forms, and the instructions, are released.
As was the case last year, insurers with medical loss ratios (MLRs) that were below the prescribed levels on their blocks of business must issue rebates to policyholders. The MLR threshold for large groups is 85%, and the threshold for small group and individual policies is 80%. The MLR ratio is based on the insurer’s block of business in the state, and not on the specific policy’s claims experience and administrative costs.
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