Employee Assistance Programs (EAP)

The month of May was mental health awareness, and there was an increase in interest in Employee Assistance Programs, not just in Indiana but the entire nation. What is an Employee Assistance Program (EAP)? An employee benefits program is a benefit a company will provide to their employees to help address personal and work-related issues […]

Do Different States Mean Different Costs?

Youth sports play a massive role in many parents’ lives. We are constantly shuffling kids from practice, private coaching, games, training, and tryouts. We all hope our children will not need medical attention, but there is a high probability you will find it throughout a youth sports career. This is the story of my kids […]

Elimination of the Family Glitch?

Affordable Care Act (ACA)

The current administration intends to fix the “family glitch” under the Affordable Care Act (ACA). Under the ACA, an employee may be eligible for a premium tax credit if the employer-sponsored group health plan costs more than 9% of the employee’s income. The “family glitch” disqualified employees dependent from receiving tax credits even if the […]

Small-Group Health Insurance & Inflation

We are now starting to experience the impact of inflation on all industries. The cost of doing business is going up for most industries. Inflation can be devasting on small businesses and force owners to make difficult decisions. One benefit is that small businesses can make changes quickly. When it comes to Indiana Insurance Benefits, […]

COVID-19 At Home Test Kits

Beginning January 15th, 2022, most health insurance companies will cover FDA Authorized over-the-counter (OTC) COVID at-home test kits. Members do not need a prescription to receive the kits at no cost. An individual can receive up to eight OTC test kids every month. Should you elect a rapid test kit that includes two tests, that […]

Open Enrollment for 2022 Health Insurance Coverage

Who can apply? Residents of Indiana under age 65. When can I apply? November 1, 2021, through January 15, 2021.  If you experience a qualifying life event after January 15, you may still be able to apply. When does my coverage start? For those who apply from November 1, 2021, through December 15, 2021, coverage […]

Medicare Part D Creditable or non-Creditable Notices

What is the purpose of the notice? Insured employees use this information to make an informed decision on when to enroll in Part D Prescription drug coverage. Who should be notified? Employees and dependents who are eligible for Medicare and enrolled in the group-sponsored prescription drug coverage. When are the notices due? October 15, 2021 […]

Indiana Hospital Transparency Pricing

January 1st, 2021, all hospitals are required to display at least 300 “shoppable medical Services “that a health care consumer can access prior to having a procedure. The goal is to give greater transparency to people who wish to be better consumers of health care. The medical providers are supposed to display these services in […]

The Family Glitch

Under the Affordable Care Act, an employee can qualify for premiums assistance if the current employer costs more than 9.83% of the employee’s income.  The “family glitch” is where the dependent’s costs are more than 9.83% of household income. Still, they do not qualify for premiums assistance because the affordability is based on the employee […]

American Rescue Plan & Health Insurance

President Biden officially signed into law H.R 1319 aka American Rescue Plan Act of 2021 on March 11, 2021.   One of the goals of the law is to expand Health Insurance by making it more affordable. Marketplace Tax Credits Expansion on Health Insurance Under the new law, people that purchase individual and family Health […]