Advancedbenefitconsulting.com
Health Plan Documentation: What You and Your Clients Need to …
WebBy: Marilyn Monahan, Monahan Law Office Published by The Orange County Association of Health Underwriters (OCAHU) and posted with permission of OCAHU Department of Labor (DOL) audit activity is increasing, and many employers are not …
Actived: 3 days ago
Transparency in Coverage Rules: Breaking Them Down for Real …
WebOn October 29, 2020, the Department of Health & Human Services, Department of Labor, and Treasury Department collectively issued proposed and final rules on “Transparency in Coverage” that will require most employer-sponsored group health …
Advanced Benefit Consulting: Full Service Employee …
WebWe can help you. Our principals have over 40 years combined experience in self-insured health plans and can assist you in every component, from bidding excess coverages, to finding an administrator, to designing your plan, to writing your Plan Document and …
Evaluating Self-Funding For Your Health Plan
WebLearning Objectives. This course introduces the attendee to the concept of self-funding in health plans, comparing it to fully insured plans and other funding options, and provides a comprehensive look into plan design, risks, mitigation of those risks, and …
Health Plan Compliance for 2022: ERISA Requirements for …
WebSince the health insurance industry finally has some breathing space and feels some relief following the Single Payer threat, and the author removing AB-1400 from the assembly floor before a vote, we have at least a bit of time to concentrate on other …
Reference Based Pricing
WebBy: Dorothy Cociu, RHU, REBC, GBA, RPA Vice President, Communications, OCAHU services. Medical miracles save millions of people a year and make people’s lives better. The problem is, the costs keep going up, and no one seems to care about doing …
More On HIPAA HIPAA’s Nondiscrimination Rules
WebThe interim final rules and proposed regulations for the nondiscrimination regulations of HIPAA were released on January 8, 2001. The interim final regulations are applicable the first plan year on or after July 1, 2001, unless the provisions were covered in earlier …
Reference Based Pricing
WebReference Based Pricing reimburses hospitals and other facilities based on a multiple of Medicare rates, which is known, fair and acceptable to most providers. Because the rates are generally higher than Medicare rates (most commonly 140% to 150% of …
Cost Containment in the Large Group Health Insurance Market
WebPublished data shows brand name drug prices have increased nearly 11%. Specialty drug spending is forecast to increase another 15% in 2018, which is up to 50% of the total dollars spent on pharmacy costs. [1] The highest cost medications on the …
Benefits Executive Roundtable Podcast
WebBenefits Executive Roundtable Podcast . Audio Podcast Series. Industry experts break down the latest news and trends in employee benefits, healthcare reform, regulations and compliance, designed to empower executive decisions. Dorothy Cociu will interview …
Form 1095-C, Part II, Line 14: Indicator Code Series 1 for …
WebIf the ALE Member used code 1L, 1M, 1N, 1O, 1P, 1Q, 1T, or 1U because it offered the employee an individual coverage HRA, enter the appropriate ZIP code used for identifying the lowest cost silver plan used to calculate the Employee Required
Summary of Benefits and Coverage
WebAnthem Gold HMO 35. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called …
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