Business
MLR Rebates: A Guide for Employers
MLR rebates, mandated by the Affordable Care Act, require insurers to issue refunds to if the portion of premium revenue spent on patient care and healthcare quality improvements falls below specific thresholds. Employers receiving these rebates have obligations, specifically regarding their distribution to eligible plan participants within a specific timeframe. Although MLR rebates do not…
Read MoreExcess Reinsurance Achieves Performance Assessment Rating of PA-2 (Excellent) by AM Best
[Woodbury, NJ] — Excess Reinsurance, a leading player in the stop loss insurance industry, proudly announces that it has been awarded a Performance Assessment Rating of PA-2 (Excellent) by AM Best, a globally recognized credit rating agency specializing in the insurance industry. “The assessment reflects Excess Re’s excellent underwriting capabilities, excellent governance and internal controls,…
Read MoreQUICK REFERENCE CHART: Nondiscrimination Rules
Section 125/Cafeteria Plans, Section 105 (for Self-Insured Plans/HRAs/Health FSAs), Dependent Care FSAs and Group Term Life Insurance BACKGROUND At a high level, under general federal income taxation principles, compensation in any form that is paid or provided by an employer to an employee constitutes taxable income (wages), unless a section of the Internal Revenue Code…
Read MoreWashington Update – Supreme Court Leaves ACA in Place
On June 17, 2021, the US Supreme Court issued an opinion in the latest legal controversy surrounding the ACA. In the opinion concerning California v. Texas, the Supreme Court determined that the challengers to the law lacked standing to bring the case to court. Accordingly, the case concludes without discussion of the legal challenges to…
Read MoreIRS Affirms Employer Mandate Enforcement Efforts
August 20, 2019 On June 28, 2019, the IRS sent a letter (number 2019-0008) to Senator Susan Collins, reaffirming that they will continue enforcing the employer mandate. Senator Collins, on behalf of several of her constituents, had written to the IRS asking whether the IRS might waive or reduce employer mandate penalties based on hardship…
Read MoreInnovation: Data is King
Innovation. It’s a word that until recent years few (if any) would associate with insurance or employee benefits. Today it’s commonplace within every industry periodical and podcast. It’s on the agenda of every conference and the topic of discussion for most keynotes. All indicators point to a major shift in the way business will be…
Read MoreCarve-Out & Delivery Model Strategies
Over the past few years, as employers looked to gain some semblance of control over soaring health care costs, there has been a focus on shifting more responsibility for those costs to employees. However, with a competitive labor market and health care cost increases outpacing wage increases, this practice has become unsustainable. Employers are now…
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