Out of Pocket Maximum for Health Insurance
All health insurance policies must follow guidelines under the Affordable Care Act. One guideline is the out of pocket maximum (OOPM). The OOPM is the most an insured can pay out of their pocket in one year. Also can be referred to as cost sharing. For 2016, the OOPM cannot exceed $6,850 for a single […]
Telemedicine is Coming to Indiana
The governor of Indiana signed House Bill 1263, which will official make telemedicine legal in Indiana. Under the new law board-certified doctors, will be able to provide care for flu, colds, allergies, minor infections and more. They will even be able to prescribe medications online. This is a huge step for Indiana when it comes […]
Employee Benefits Philosophy
As a decision maker, the philosophy that you form for employee benefits will have a huge impact on your company and employees. There are many different approaches and benefit philosophy’s can also change over time, so they are not set in stone. Co Pay Approach A common approach is to offer benefits that are going […]
Group Health Insurance Options
In today’s market of employee benefits, there are still multiple vehicles in which you can provide employer sponsored health insurance. The group health insurance industry both here in Indiana and the rest of the country have been impacted by the Affordable Care Act. There has been some positives impacts and some negative. For now, we […]
Indiana Group Health Insurance
Group health insurance, employers sponsored health insurance, employee benefits, or group health, no matter what you call it, it’s in investment into the employees and the company. In Indiana, we have been experiencing a large decline in group health insurance being offered for over a decade. The affordable care act has helped to increase that […]
Health Insurance address Special Enrollment Losses
Under the Affordable Care Act, once open enrollment has ended, an individual may still be able to purchase though a special enrollment period (SEP). The SEP usually occurs when that individual has a qualifying life event (QLE). Involuntary loss of health insurance coverage, marriage, child birth, and move to a new state are all examples […]
Deadlines Extended for 2015 reporting Requirement of 1094 & 1095
IRS Notice https://www.irs.gov/pub/irs-drop/n-16-4.pdf 2016-4 extends the deadline for large group and self-funded groups for reporting under section 6055 & 6056. Under the law applicable large employers or self funded plans: Must provide to individuals the 1095-B and 1095-C forms. This was originally due by Feb. 1st and now has been extended to March 31st of 2016. […]
Consolidated Appropriations Act of 2016
President Obama recently signed the Consolidated Appropriations Act of 2016! This act will provide a 2 year delay on the Cadillac Tax and Impose a moratorium on the medical device tax for 2016 & 2017. The Cadillac Tax was supposed to go active in 2018. This is a 40% tax on health plans that cost […]
The First Stage of Open Enrollment has Been Completed for Both Individual Health Insurance on and off the Exchange.
There is not a lot of good to mention for policies off the exchange. With Humana and Assurant leaving this Indiana market, this has left just one insurance company offering a PPO plan. That company is United healthcare. United Healthcare has publicly stated they want to limit the amount of policies they sell in both […]
Nefouse & Associates Quoted in Indiana Business Journal
We’d like to share an article written in the Indiana Business Journal that Nefouse & Associates was quoted in on November 28th. This particle article is about “With health insurance coverage pricey, firms adopt 401(k)-like plans” Please read the full article here.
