The PCOR fee filing deadline is July 31, 2019 for all self-funded medical plans and HRAs for plan years ending in 2018. Please note, this is the final filing and payment for some plans. Plans ending in January through September of 2019 will have one more filing on...

On December 14, 2018, a Texas district court invalidated the entire Affordable Care Act (“ACA”). This includes the Individual Mandate, Employer Penalty, mandated benefits such as the prohibition against preexisting condition exclusions, taxes such as the PCOR fee, the...

Under the Affordable Care Act, carriers are required to spend 80 cents of every premium dollar to pay claims, clinical services and activities that improve the quality of health care for members. This percentage is known as the minimum Medical Loss Ratio. If a health...

The Department of Labor published a final rule on June 21, 2018 creating flexibilities for employers to band together to sponsor a single Association Health Plan (AHP) The final rule allows multiple employers to jointly sponsor a single group health plan by expanding...

The PCOR filing deadline is July 31, 2018 for all self-funded medical plans and HRAs for plan years ending in 2017. The plan years and associated amounts are as follows: Plan Year Amount of PCOR Fee Payment and Filing Date February 1, 2016 – January 31, 2017...

On March 6, 2017, the House Ways and Means Committee and the House Energy and Commerce Committee (the “Committees”) released legislation as part of House Republicans’ effort to repeal and replace the Affordable Care Act (“ACA”) through a budget process known as...

With the impending inauguration, recent actions by the Senate and some confusing media reports, this provides a short Q&A t help you understand current events and what to expect as we head down the health care reform road in 2017. What's the latest news? The Senate...

Independence Blue Cross has issued two updates, both related to Medicare Secondary Payer. In one, they acknowledge that clients with fewer than 100 employees recently received letters about Medicare Secondary Payer with incorrect customer names. If you have received...

Groups with coverage through Independence Blue Cross/Keystone Health Plan East/AmeriHealth should all be receiving letters from the carrier offering identify theft protection services AT NO COST! They are offering your employees identify theft protection services...

Congress has deferred the tax on expensive employer health plans. There is a two year postponement to what has been dubbed the 'Cadillac tax'. It's part of a budget package on which the House and Senate are preparing to vote within the next few days. We'll keep you...